Palm Medical Center Lakeland LLC

NPI #1073249348 in Tampa, Florida

Provider Information

NPI Number
1073249348
Entity Type
Organization
Organization Name
Palm Medical Center Lakeland LLC
Primary Specialty
General Practice
Enumeration Date
Jul 28, 2022
Last Updated
Jul 28, 2022

Practice Location

Address
11017 N DALE MABRY HWY STE B
City
Tampa
State
Florida
ZIP Code
33618-3873
Phone
(813) 337-7402

Authorized Official

Name
SANTIAGO MOISES MARTIN
Title
PRESIDENT OF CENTER OPERATIONS
Phone
(305) 913-9441

Specialties & Taxonomy Codes

Specialty
Clinic/Center
General Practice

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