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
—
—
Other
Enumeration date
11/21/2017
Last updated
03/08/2018
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