| Palm Medical Center Lakeland Llc | |
|
6836 Medical View Ln Zephyrhills FL 33542-6615 | |
| (813) 859-5449 | |
| (813) 395-5478 |
| Full Name | Palm Medical Center Lakeland Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6836 Medical View Ln, Zephyrhills, Florida |
| Authorized Official Name and Position | Santiago Moises Martin (PRESIDENT OF 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: (727) 255-4416 | Palm Medical Center Lakeland Llc 6836 Medical View Ln Zephyrhills FL 33542-6615 Ph: (813) 859-5449 |
| NPI Number | 1881329126 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881329126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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