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Organization

LAKE MARY WALK-IN MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL MARCUS HOPKINS M.D. (PRESIDENT)
(407) 333-0160
Entity
Organization

Contact information

Practice address
870 S SUN DR, SUITE 1030, LAKE MARY, FL 32746-2057
(407) 333-0160
(407) 333-0108
Mailing address
870 S SUN DR, SUITE 1030, LAKE MARY, FL 32746-2057
(407) 333-0160
(407) 333-0108

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
121341
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DB9538
MEDICARE RAILROAD
FL
Enumeration date
06/03/2006
Last updated
01/24/2008
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