| Ladylake Medical Consultants | |
|
4801 S Congress Ave Suite 201a Lake Worth FL 33461-4746 | |
| (561) 439-4779 | |
| (561) 439-7089 |
| Full Name | Ladylake Medical Consultants |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 4801 S Congress Ave, Lake Worth, Florida |
| Authorized Official Name and Position | Yanick Paule Eugene-dauphin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5614394779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ladylake Medical Consultants 4801 S Congress Ave Suite 201a Lake Worth FL 33461-4746 Ph: (561) 439-4779 | Ladylake Medical Consultants 4801 S Congress Ave Suite 201a Lake Worth FL 33461-4746 Ph: (561) 439-4779 |
| NPI Number | 1164615894 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164615894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME68488 (Florida) | Primary |
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