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Organization
INTERNAL MEDICINE OF LAKE CITY , PA
Active
Organization
INTERNAL MEDICINE OF LAKE CITY , PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BIRMINGHAM (DIRECTOR)
(615) 373-7625
Entity
Organization
Contact information
Practice address
334 SW COMMERCE DR, SUITE 2, LAKE CITY, FL 32025-1502
(386) 755-1703
(386) 755-1744
Mailing address
334 SW COMMERCE DR, SUITE 2, LAKE CITY, FL 32025-1502
(386) 755-1703
(386) 755-1744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2005
Last updated
08/22/2020
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