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Organization
LAKEWOOD RANCH MEDICAL GROUP LLC
Active
Organization
LAKEWOOD RANCH MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILIA D CARAG MD (DELEGATED OFFICER)
(941) 782-2800
Entity
Organization
Contact information
Practice address
8340 LAKEWOOD RANCH BLVD, SUITE 140, LAKEWOOD RANCH, FL 34202-5180
(941) 782-2800
(941) 782-2513
Mailing address
PO BOX 281741, ATLANTA, GA 30384-1741
(941) 782-2800
(941) 782-2513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN8672
RAIL ROAD MEDICARE
FL
Enumeration date
06/13/2008
Last updated
05/24/2010
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