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Organization
FREEDOM HEALTH AND WELLNESS OF LAKE CITY, LLC
Active
Organization
FREEDOM HEALTH AND WELLNESS OF LAKE CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY HERNDON (OWNER)
(386) 623-0850
Entity
Organization
Contact information
Practice address
263 SW PROFESSIONAL GLN, LAKE CITY, FL 32025-1105
(386) 623-0850
Mailing address
263 SW PROFESSIONAL GLN, LAKE CITY, FL 32025-1105
(386) 623-0850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2017
Last updated
03/08/2018
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