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Organization
CORNERSTONE CARE CLINIC LLC
Active
Organization
CORNERSTONE CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CHAMBERLAIN PHARMD (PRESIDENT)
(386) 477-0007
Entity
Organization
Contact information
Practice address
1520 OHIO AVE S STE A, LIVE OAK, FL 32064-4514
(386) 219-4060
(386) 245-7100
Mailing address
1520 OHIO AVE S STE A, LIVE OAK, FL 32064-4514
(386) 219-4060
(386) 245-7100
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/11/2026
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