Organization · Type 2 NPI

Capernaum Medical Center for Kids PLLC

Clinic/Center · Lakeland, FL

NPI number 1417422015 Active

Practice location

2024 Edgewood Dr S
Lakeland, FL 33803-3637

Call (863) 232-4323 Map

Fax (863) 337-5728

Other practice locations

  • 5129 S Lakeland Dr Ste 2, Lakeland, FL 33813-2599 · (863) 232-4323
  • 3040 Park Pond Way, Kissimmee, FL 34741-7662 · (863) 232-4323
  • 250 Westshore Plz, Tampa, FL 33609-1811 · (863) 232-4323
  • 4710 N Habana Ave Ste 404, Tampa, FL 33614-7152 · (863) 232-4323

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

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).

13 other providers at this address

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About NPI 1417422015

Capernaum Medical Center for Kids PLLC's National Provider Identifier is 1417422015, issued on Oct 10, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lakeland, FL. The record was last updated on Aug 15, 2024.