Standup Polk | |
621 S Florida Ave Lakeland FL 33801-5230 | |
(863) 802-0777 | |
(863) 802-0065 |
Full Name | Standup Polk |
---|---|
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 |
---|---|
Standup Polk 621 S Florida Ave Lakeland FL 33801-5230 Ph: (863) 802-0777 | Standup Polk 621 S Florida Ave Lakeland FL 33801-5230 Ph: (863) 802-0777 |
NPI Number | 1710325998 |
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Provider Enumeration Date | 06/10/2013 |
Last Update Date | 06/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710325998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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