| Palm Medical Center Lakeland Llc | |
|
127 Ridge Center Dr Davenport FL 33837-6401 | |
| (863) 421-7400 | |
| (863) 216-6474 |
| Full Name | Palm Medical Center Lakeland Llc |
|---|---|
| Speciality | General Practice |
| Location | 127 Ridge Center Dr, Davenport, Florida |
| Authorized Official Name and Position | Carmel N Boswell (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8135387880 |
| 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: (305) 913-9454 | Palm Medical Center Lakeland Llc 127 Ridge Center Dr Davenport FL 33837-6401 Ph: (863) 421-7400 |
| NPI Number | 1811841091 |
|---|---|
| Provider Enumeration Date | 02/24/2026 |
| Last Update Date | 02/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811841091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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