Central Parc Wellness

NPI #1245616192 in Lake Mary, Florida

Provider Information

NPI Number: 1245616192
Entity Type: Organization
Organization Name: Central Parc Wellness
Primary Specialty: Family Medicine
Enumeration Date: Aug 3, 2015
Last Updated: Oct 29, 2015

Practice Location

Address: 920 INTERNATIONAL PKWY
Address 2: SUITE # 1056
City: Lake Mary
State: Florida
ZIP Code: 32746-5219
Phone: (407) 915-5300

Authorized Official

Name: DR. LANE R PHILLIPS, D.O.
Title: PHYSICIAN
Phone: (407) 804-9494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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