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425 S Florida Ave, Lakeland, FL 33801-5226 | |
(863) 686-4149 | |
(863) 683-4888 |
Full Name | |
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Type | Facility |
Speciality | Nurse Practitioner |
Location | 425 S Florida Ave, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1992907448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Stephen E Sligh |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932177755 PECOS PAC ID: 1456447580 Enrollment ID: I20100414000862 |
Mailing Address | Practice Location Address |
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Po Box 873, Lakeland, FL 33802-0873 Ph: (863) 686-4149 | 425 S Florida Ave, Lakeland, FL 33801-5226 Ph: (863) 686-4149 |