Organization · Type 2 NPI
Eagle Ridge Medical Center Co.
Primary Care Clinic/Center · Lake Wales, FL
NPI number
1669592564
Active
Practice location
1030 Chalet Suzanne Rd
Lake Wales, FL 33859-7760
Fax (863) 679-1097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Lake Wales
About NPI 1669592564
Eagle Ridge Medical Center Co.'s National Provider Identifier is 1669592564, issued on Apr 2, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lake Wales, FL. The record was last updated on Aug 22, 2020.