Organization · Type 2 NPI

Southside Medical Clinic

Clinic/Center · Lakeland, FL

NPI number 1356681845 Active

Practice location

1707 E Edgewood Dr
Lakeland, FL 33803-3470

Call (863) 688-9219 Map

Fax (863) 687-4863

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XME0043239 (FL)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1356681845

Southside Medical Clinic's National Provider Identifier is 1356681845, issued on Feb 21, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lakeland, FL. The record was last updated on Feb 21, 2013.