| Premier Walk In Clinic | |
|
5676 S Florida Ave Lakeland FL 33813-2526 | |
| (863) 644-3400 | |
| (863) 619-2400 |
| Full Name | Premier Walk In Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5676 S Florida Ave, Lakeland, Florida |
| Authorized Official Name and Position | Narinder S Brar (OWNER) |
| Authorized Official Contact | 8636443400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Walk In Clinic 5676 S Florida Ave Lakeland FL 33813-2526 Ph: (863) 644-3400 | Premier Walk In Clinic 5676 S Florida Ave Lakeland FL 33813-2526 Ph: (863) 644-3400 |
| NPI Number | 1033262019 |
|---|---|
| Provider Enumeration Date | 01/21/2007 |
| Last Update Date | 10/16/2014 |
| Medicare PECOS PAC ID | 8729008032 |
|---|---|
| Medicare Enrollment ID | O20051201000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033262019 | NPI | - | NPPES |
| K9032 | Other | FL | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME65736 (Florida) | Primary |
| Provider Name | Narinder S Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972582054 PECOS PAC ID: 8325008295 Enrollment ID: I20041014000864 |
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