| E & M Medical Group Pa | |
|
4730 Exploration Ave Lakeland FL 33812-3319 | |
| (863) 619-5999 | |
| (863) 619-5995 |
| Full Name | E & M Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4730 Exploration Ave, Lakeland, Florida |
| Authorized Official Name and Position | Edwin J Pena (OWNER) |
| Authorized Official Contact | 8636195999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E & M Medical Group Pa Po Box 550 Highland City FL 33846-0550 Ph: (863) 619-5999 | E & M Medical Group Pa 4730 Exploration Ave Lakeland FL 33812-3319 Ph: (863) 619-5999 |
| NPI Number | 1255650636 |
|---|---|
| Provider Enumeration Date | 05/24/2010 |
| Last Update Date | 05/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255650636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME90788 (Florida) | Primary |
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