Organization · Type 2 NPI
Lakewood Ccl, LLC
Multi-Specialty Clinic/Center · Wildwood, FL
NPI number
1922575802
Active
Practice location
5571 E Sr 44 Ste 501
Wildwood, FL 34785-8282
Fax (352) 571-6787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Another provider at this address
About NPI 1922575802
Lakewood Ccl, LLC's National Provider Identifier is 1922575802, issued on Oct 29, 2018. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Wildwood, FL. The record was last updated on Oct 29, 2018.