| Hardee Asapp | |
|
621 S Florida Ave Lakeland FL 33801-5230 | |
| (863) 802-0777 | |
| (863) 802-0065 |
| Full Name | Hardee Asapp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 621 S Florida Ave, Lakeland, Florida |
| Authorized Official Name and Position | Angela Ellison (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8638020777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hardee Asapp 621 S Florida Ave Lakeland FL 33801-5230 Ph: (863) 802-0777 | Hardee Asapp 621 S Florida Ave Lakeland FL 33801-5230 Ph: (863) 802-0777 |
| NPI Number | 1942648167 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 06/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942648167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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