Icats Lakeland LLC
NPI #1003256215 in Jacksonville, Florida
Provider Information
- NPI Number
- 1003256215
- Entity Type
- Organization
- Organization Name
- Icats Lakeland LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 2, 2013
- Last Updated
- Jul 2, 2013
Practice Location
- Address
- 10151 DEERWOOD PARK BLVD STE 200-250
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32256-0589
- Phone
- (502) 327-9100
Authorized Official
- Name
- JERRY MICHAEL BENFIELD JR., MD
- Title
- CEO
- Phone
- (502) 327-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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