Florida Lakes Surgical Pllc

NPI #1174727937 in Sebring, Florida

Provider Information

NPI Number
1174727937
Entity Type
Organization
Organization Name
Florida Lakes Surgical Pllc
Primary Specialty
Surgery
Enumeration Date
Jun 13, 2007
Last Updated
May 11, 2015

Practice Location

Address
4751 LAKEVIEW DR
State
Florida
ZIP Code
33870-2064
Phone
(863) 402-5600

Authorized Official

Name
DR. THOMAS C LACKEY II, DO
Title
OWNER
Phone
86340265600

Specialties & Taxonomy Codes

Specialty
Surgery

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