Palm Medical Center Lakeland Llc | |
14807 E Colonial Dr Ste 112 Orlando FL 32826-5122 | |
(407) 250-6742 | |
(407) 203-6742 |
Full Name | Palm Medical Center Lakeland Llc |
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Speciality | Clinic/center |
Location | 14807 E Colonial Dr Ste 112, Orlando, Florida |
Authorized Official Name and Position | Santiago Moises Martin (PRESIDENT OF CENTERS) |
Authorized Official Contact | 3059139441 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palm Medical Center Lakeland Llc 2600 S Douglas Rd Ste 308 Coral Gables FL 33134-6134 Ph: (813) 538-7880 | Palm Medical Center Lakeland Llc 14807 E Colonial Dr Ste 112 Orlando FL 32826-5122 Ph: (407) 250-6742 |
NPI Number | 1164124095 |
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Provider Enumeration Date | 03/22/2023 |
Last Update Date | 03/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164124095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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