| My Doctors Live Network | |
|
170 Fitzgerald Rd Ste 1 Lakeland FL 33813-2633 | |
| (800) 838-8840 | |
| Not Available |
| Full Name | My Doctors Live Network |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 170 Fitzgerald Rd Ste 1, Lakeland, Florida |
| Authorized Official Name and Position | Rachel V Ollivierre-agard (OWNER) |
| Authorized Official Contact | 8008388840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Doctors Live Network 170 Fitzgerald Rd Ste 1 Lakeland FL 33813-2633 Ph: (800) 838-8840 | My Doctors Live Network 170 Fitzgerald Rd Ste 1 Lakeland FL 33813-2633 Ph: (800) 838-8840 |
| NPI Number | 1144891367 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144891367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 170300000X | Genetic Counselor, Ms | () | Secondary |
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