Palm Medical Center Lakeland LLC
NPI #1295420594 in Haines City, Florida
Provider Information
- NPI Number
- 1295420594
- Entity Type
- Organization
- Organization Name
- Palm Medical Center Lakeland LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 11, 2023
- Last Updated
- Apr 11, 2023
Practice Location
- Address
- 360 S 10TH ST
- City
- Haines City
- State
- Florida
- ZIP Code
- 33844-5602
- Phone
- (863) 547-0755
Authorized Official
- Name
- SANTIAGO MOISES MARTIN
- Title
- PRESIDENT CENTER OPERATIONS
- Phone
- (305) 913-9441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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