# LAKELAND OBGYN PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417981531
- **Authorized official:** PEDRO M ALVAREZ MD (PRESIDENT)
- **Authorized official phone:** (863) 688-1528

## Contact information

- **Practice address:** 1733 LAKELAND HILLS BLVD, LAKELAND, FL 33805
- **Practice address phone:** (863) 688-1528
- **Practice address fax:** (863) 688-8423
- **Mailing address:** 1733 LAKELAND HILLS BLVD, LAKELAND, FL 33805
- **Mailing address phone:** (863) 688-1528
- **Mailing address fax:** (863) 688-8423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020