Polk Concierge Medical Group, LLC

NPI #1235824640 in Lakeland, Florida

Provider Information

NPI Number
1235824640
Entity Type
Organization
Organization Name
Polk Concierge Medical Group, LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Apr 11, 2023
Last Updated
Apr 11, 2023

Practice Location

Address
304 E PINE ST # 1143
State
Florida
ZIP Code
33801-4969
Phone
(863) 339-2025

Authorized Official

Name
MRS. ASIA M STANDIFER, APRN
Title
CEO
Phone
(352) 807-2197

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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