Lake Worth Medical PA

NPI #1205086063 in Greenacres, Florida

Provider Information

NPI Number: 1205086063
Entity Type: Organization
Organization Name: Lake Worth Medical PA
Primary Specialty: Internal Medicine
Enumeration Date: Sep 29, 2008
Last Updated: Feb 6, 2009

Practice Location

Address: 2938 JOG RD
City: Greenacres
State: Florida
ZIP Code: 33467-2002
Phone: (561) 432-3455

Authorized Official

Name: DR. MARIO BAEZ
Title: PART OWNER
Phone: (561) 432-3455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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