| Mainsail Medical Inc | |
|
625 Commerce Dr Suite 207 Lakeland FL 33813-2768 | |
| (863) 701-7188 | |
| (863) 701-2014 |
| Full Name | Mainsail Medical Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 625 Commerce Dr, Lakeland, Florida |
| Authorized Official Name and Position | Roxann Castelli Cook (OWNER, PHYSICIAN) |
| Authorized Official Contact | 8637017188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainsail Medical Inc 625 Commerce Dr Suite 207 Lakeland FL 33813-2768 Ph: (863) 701-7188 | Mainsail Medical Inc 625 Commerce Dr Suite 207 Lakeland FL 33813-2768 Ph: (863) 701-7188 |
| NPI Number | 1982829099 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982829099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS7901 (Florida) | Primary |
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Premier Walk In Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5676 S Florida Ave, Lakeland, FL 33813 Phone: 863-644-3400 Fax: 863-619-2400 | |
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