| Palm Medical Center Lakeland Llc | |
|
16215 Sr 50 Ste 102 Clermont FL 34711-6019 | |
| (352) 221-9136 | |
| (352) 221-9146 |
| Full Name | Palm Medical Center Lakeland Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 16215 Sr 50 Ste 102, Clermont, Florida |
| Authorized Official Name and Position | Santiago Moises Martin (PRESIDENT CENTER OPERATIONS) |
| Authorized Official Contact | 3059139441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Medical Center Lakeland Llc 2600 S Douglas Rd Ste 308 Coral Gables FL 33134-6134 Ph: (305) 913-9454 | Palm Medical Center Lakeland Llc 16215 Sr 50 Ste 102 Clermont FL 34711-6019 Ph: (352) 221-9136 |
| NPI Number | 1649048281 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649048281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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