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Organization
AUSTIN MEDICAL ASSOCIATES X LLC
Active
Organization
AUSTIN MEDICAL ASSOCIATES X LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C AUSTIN MD (MEDICAL DIRECTOR)
(863) 777-2736
Entity
Organization
Contact information
Practice address
180 FITZGERALD RD STE 2, LAKELAND, FL 33813-2712
(813) 754-7777
Mailing address
180 FITZGERALD RD STE 2, LAKELAND, FL 33813-2712
(813) 754-7777
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
—
NULL
170300000X
Genetic Counselor (M.S.)
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/04/2023
Last updated
03/06/2024
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