Organization · Type 2 NPI

Lake Wales Primary Care Center, LLC

Specialist · Lake Wales, FL

NPI number 1750543344 Active

Practice location

1120 Carlton Ave, Suite 2300
Lake Wales, FL 33853-4348

Call (727) 251-1366 Map

Fax (813) 968-5306

Mailing address

6916 W Linebaugh Ave, Suite 101
Tampa, FL 33625-5815

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5 other providers at this address

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About NPI 1750543344

Lake Wales Primary Care Center, LLC's National Provider Identifier is 1750543344, issued on Jun 26, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Wales, FL. The record was last updated on Apr 27, 2009.