# CORNERSTONE CARE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669253639
- **Authorized official:** DR. JOSEPH CHAMBERLAIN PHARMD (PRESIDENT)
- **Authorized official phone:** (386) 477-0007

## Contact information

- **Practice address:** 1520 OHIO AVE S STE A, LIVE OAK, FL 32064-4514
- **Practice address phone:** (386) 219-4060
- **Practice address fax:** (386) 245-7100
- **Mailing address:** 1520 OHIO AVE S STE A, LIVE OAK, FL 32064-4514
- **Mailing address phone:** (386) 219-4060
- **Mailing address fax:** (386) 245-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2023
- **Last updated:** 10/11/2026