Organization · Type 2 NPI

Palm Medical Center Lakeland LLC

General Practice Physician · Plant City, FL

NPI number 1619821808 Active

Practice location

1509 W Reynolds St
Plant City, FL 33563-4733

Fax (813) 704-5998

Mailing address

2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

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About NPI 1619821808

Palm Medical Center Lakeland LLC's National Provider Identifier is 1619821808, issued on Feb 24, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Plant City, FL. The record was last updated on Feb 24, 2026.