THREE OAKS FAMILY MEDICINE LLC
NPI 1194336701
Family Medicine in Labelle, FL

Active since August 17, 2020CLIA 10D2213034 · Waiver
825 E COWBOY WAY, UNITS 102/103, LABELLE, FL 33935(239) 560-2657 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Three Oaks Family Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THREE OAKS FAMILY MEDICINE LLC (NPI 1194336701) is a healthcare organization registered as a family medicine in Labelle, Florida and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Amanda Pacheco, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1194336701
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHREE OAKS FAMILY MEDICINE LLC
Location Address825 E COWBOY WAY, UNITS 102/103Labelle, FL 33935
Mailing Address325 Via Del AquaClewiston, FL 33440-2422 · (239) 560-2657
Organization SubpartNo
Authorized OfficialAmanda PachecoOwner/provider · (239) 560-2657
Enumeration DateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
NPI 1194336701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
825 E COWBOY WAY, Labelle, FL 33935

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2213034

Three Oaks Family Medicine LLC · Labelle, FL
Active · expires Feb 8, 2027
CLIA Number10D2213034
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorJanet Dominguez-Giron
Laboratory Phone(863) 342-8437
Laboratory LocationThree Oaks Family Medicine LLC825 E Cowboy Way Unit 102/103, Labelle, FL 33935
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
825 E COWBOY WAY
LABELLE, FL 33935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Three Oaks Family Medicine LLC's NPI number?

The NPI number for Three Oaks Family Medicine LLC is 1194336701. It was assigned to this organization in the NPPES registry on August 17, 2020.

Where is Three Oaks Family Medicine LLC located?

Three Oaks Family Medicine LLC is located at 825 E Cowboy Way Units 102/103, Labelle, FL 33935. The listed phone number is (239) 560-2657.

What is Three Oaks Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Three Oaks Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2213034) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Three Oaks Family Medicine LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Three Oaks Family Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Three Oaks Family Medicine LLC was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.