Lake Butler Medical Clinic INC

NPI #1871582296 in Lake Butler, Florida

Provider Information

NPI Number
1871582296
Entity Type
Organization
Organization Name
Lake Butler Medical Clinic INC
Primary Specialty
Clinic/Center
Enumeration Date
Oct 18, 2005
Last Updated
Jun 29, 2010

Practice Location

Address
675 E MAIN ST
State
Florida
ZIP Code
32054-1352
Phone
(386) 496-1328

Authorized Official

Name
MARTHA REGINA LLOYD, MD
Title
PHYSICIAN
Phone
(386) 496-1328

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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Provider Name
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Part of Public Health Trust of Miami Dade County

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