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Organization
POLK CONCIERGE MEDICAL GROUP, LLC
Active
Organization
POLK CONCIERGE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASIA M STANDIFER APRN (CEO)
(352) 807-2197
Entity
Organization
Contact information
Practice address
304 E PINE ST # 1143, LAKELAND, FL 33801-4969
(863) 339-2025
Mailing address
304 E PINE ST # 1143, LAKELAND, FL 33801-4969
(863) 339-2025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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