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2300 E County Road 540a Lakeland FL 33813-3825 | |
| (863) 607-3333 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 E County Road 540a, Lakeland, Florida |
| Authorized Official Name and Position | Jason Hirsbrunner (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8636807007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1600 Lakeland Hills Blvd Lakeland FL 33805-3019 Ph: (863) 680-7000 | 2300 E County Road 540a Lakeland FL 33813-3825 Ph: (863) 607-3333 |
| NPI Number | 1780988816 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780988816 | NPI | - | NPPES |
| 053990200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | (* (Not Available)) | Secondary |
Verimed Health Group Lakeland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 809 S Florida Ave, Lakeland, FL 33801 Phone: 863-688-5811 | |
Ethos Health Lakeland, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 Commerce Dr Ste 104, Lakeland, FL 33813 Phone: 352-732-5590 Fax: 352-732-0292 | |
Central Florida Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 903 Lowry Ave, Lakeland, FL 33801 Phone: 866-234-8534 | |
Bond Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2039 E Edgewood Dr, Lakeland, FL 33803 Phone: 863-293-1191 | |