| Palm Medical Center Lakeland Llc | |
|
116 W Bougainvillea Ave Tampa FL 33612-7437 | |
| (813) 932-4381 | |
| Not Available |
| Full Name | Palm Medical Center Lakeland Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 116 W Bougainvillea Ave, Tampa, Florida |
| Authorized Official Name and Position | Fowad Choudhry (COO) |
| Authorized Official Contact | 7868144790 |
| 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: (786) 814-4790 | Palm Medical Center Lakeland Llc 116 W Bougainvillea Ave Tampa FL 33612-7437 Ph: (813) 932-4381 |
| NPI Number | 1932796232 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932796232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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