| |
408 Old Polk City Rd Lakeland FL 33809-2314 | |
(407) 798-8800 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 408 Old Polk City Rd, Lakeland, Florida |
Authorized Official Name and Position | Rebecca Rager (DIRECTOR) |
Authorized Official Contact | 8449690686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4650 Westway Park Blvd Ste 206 Houston TX 77041-2006 Ph: () - | 408 Old Polk City Rd Lakeland FL 33809-2314 Ph: (407) 798-8800 |
NPI Number | 1215609573 |
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Provider Enumeration Date | 10/04/2021 |
Last Update Date | 01/14/2025 |
Identifier | Type | State | Issuer |
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1215609573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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