Lake Wales Primary Care Center, Llc
Specialist in Lake Wales, FL(View on Map)
Legal Business Name
Lake Wales Primary Care Center, Llc
NPI Number
1750543344
NPI Type
Organization
Enumeration Date
06/26/2008
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
6916 W LINEBAUGH AVE
1120 CARLTON AVE
City
Tampa
Lake Wales
State
FL
FL
Postal Code
33625-5815
33853-4348
Country
US
US
Telephone Number
(727) 251-1366
(727) 251-1366
Authorized Official
Name
Miss Namrata Amin
Title or Position
CHIEF OPERATING OFFICER
Telephone Number
(727) 251-1366
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/27/2009
Provider Address
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