| Palm Medical Centers Bartow | |
|
2250 Osprey Blvd Ste 101 Bartow FL 33830-4340 | |
| (863) 533-8215 | |
| (863) 533-3822 |
| Full Name | Palm Medical Centers Bartow |
|---|---|
| Speciality | Clinic/center |
| Location | 2250 Osprey Blvd Ste 101, Bartow, Florida |
| Authorized Official Name and Position | Santiago Moises Martin (COO) |
| Authorized Official Contact | 3059139441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Medical Centers Bartow 2250 Osprey Blvd Ste 101 Bartow FL 33830-4340 Ph: (863) 533-8215 | Palm Medical Centers Bartow 2250 Osprey Blvd Ste 101 Bartow FL 33830-4340 Ph: (863) 533-8215 |
| NPI Number | 1437722303 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437722303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
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