| Cannacare Medical Group Llc | |
|
1046 S Florida Ave Lakeland FL 33803-1118 | |
| (800) 201-3624 | |
| Not Available |
| Full Name | Cannacare Medical Group Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1046 S Florida Ave, Lakeland, Florida |
| Authorized Official Name and Position | Jocelyn Grace Edmundson (OFFICE MANAGER) |
| Authorized Official Contact | 9189140895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cannacare Medical Group Llc 2137 Sandy Hook Lakeland FL 33813-1350 Ph: (918) 914-0895 | Cannacare Medical Group Llc 1046 S Florida Ave Lakeland FL 33803-1118 Ph: (800) 201-3624 |
| NPI Number | 1780345728 |
|---|---|
| Provider Enumeration Date | 01/03/2022 |
| Last Update Date | 01/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780345728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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