| Palm Medical Center Lakeland Llc | |
|
1221 W Stratford Rd Avon Park FL 33825-8091 | |
| (863) 453-2500 | |
| (863) 453-0745 |
| Full Name | Palm Medical Center Lakeland Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1221 W Stratford Rd, Avon Park, Florida |
| Authorized Official Name and Position | Santiago Moises Martin (PRESIDENT, CENTER OPERATIONS) |
| Authorized Official Contact | 3059139441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Medical Center Lakeland Llc 2600 S Douglas Rd Ste 308 Coral Gables FL 33134-6134 Ph: (813) 538-7880 | Palm Medical Center Lakeland Llc 1221 W Stratford Rd Avon Park FL 33825-8091 Ph: (863) 453-2500 |
| NPI Number | 1417642711 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417642711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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