| Central Primary Care | |
|
4925 Old Rd 37 Lakeland FL 33813 | |
| (863) 648-5300 | |
| (863) 648-5377 |
| Full Name | Central Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 4925 Old Rd 37, Lakeland, Florida |
| Authorized Official Name and Position | Fawzi George Mehanna (MD) |
| Authorized Official Contact | 8636485300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Primary Care P.o. Box 6896 Lakeland FL 33807 Ph: (863) 648-5300 | Central Primary Care 4925 Old Rd 37 Lakeland FL 33813 Ph: (863) 648-5300 |
| NPI Number | 1902292352 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 04/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902292352 | NPI | - | NPPES |
| 256420300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME75774 (Florida) | Primary |
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