| Rs Puri Md Pa | |
|
4120 Us Highway 98 N Ste 400 Lakeland FL 33809-3882 | |
| (863) 858-7878 | |
| (863) 853-7808 |
| Full Name | Rs Puri Md Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4120 Us Highway 98 N Ste 400, Lakeland, Florida |
| Authorized Official Name and Position | Rajinder Singh Puri (PRESIDENT) |
| Authorized Official Contact | 8638587878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rs Puri Md Pa 4120 Us Highway 98 N Ste 400 Lakeland FL 33809-3882 Ph: (863) 858-7878 | Rs Puri Md Pa 4120 Us Highway 98 N Ste 400 Lakeland FL 33809-3882 Ph: (863) 858-7878 |
| NPI Number | 1922352335 |
|---|---|
| Provider Enumeration Date | 11/07/2012 |
| Last Update Date | 11/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922352335 | NPI | - | NPPES |
| 058621800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME28211 (Florida) | Primary |
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