| Central Parc Wellness | |
|
920 International Pkwy Suite # 1056 Lake Mary FL 32746-5219 | |
| (407) 915-5300 | |
| (407) 915-6334 |
| Full Name | Central Parc Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 920 International Pkwy, Lake Mary, Florida |
| Authorized Official Name and Position | Lane R Phillips (PHYSICIAN) |
| Authorized Official Contact | 4078049494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Parc Wellness 920 International Pkwy Suite # 1056 Lake Mary FL 32746-5219 Ph: (407) 915-5300 | Central Parc Wellness 920 International Pkwy Suite # 1056 Lake Mary FL 32746-5219 Ph: (407) 915-5300 |
| NPI Number | 1245616192 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 10/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245616192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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