| Lake Wales Medical Center | |
|
410 S 11th St Lake Wales FL 33853-4203 | |
| (863) 676-1433 | |
| (863) 676-9323 |
| Full Name | Lake Wales Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 410 S 11th St, Lake Wales, Florida |
| Authorized Official Name and Position | Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6159254565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Wales Medical Center 410 S 11th St Lake Wales FL 33853-4203 Ph: (863) 676-1433 | Lake Wales Medical Center 410 S 11th St Lake Wales FL 33853-4203 Ph: (863) 676-1433 |
| NPI Number | 1841696762 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841696762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 4007 (Florida) | Primary |
Adventhealth Lake Wales Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 Fax: 863-297-1867 | |
Adventhealth Lake Wales Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 Fax: 863-297-1867 | |
Victory Ridge Academy, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Burns Ave, Lake Wales, FL 33853 Phone: 863-679-3338 Fax: 863-679-3944 | |
Kris Fitzgerald, Lmhc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Brookshire Dr, Lake Wales, FL 33898 Phone: 863-241-2785 | |
Webb Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 343 W Central Ave Ste 105-3, Lake Wales, FL 33853 Phone: 863-978-8092 Fax: 863-546-6157 | |
Justin Hoffman Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4507 Walk In Water Rd, Lake Wales, FL 33898 Phone: 095-430-9255 | |
Lake Wales Charter Schools Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 E Central Ave, Lake Wales, FL 33853 Phone: 863-604-1615 |