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Organization
CAPERNAUM MEDICAL CENTER FOR KIDS PLLC
Active
Organization
CAPERNAUM MEDICAL CENTER FOR KIDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ROBERTO VERNIER MD (MD/PRESIDENT)
(863) 232-4323
Entity
Organization
Contact information
Practice address
5129 S. LAKLAND DRIVE, SUITE 1, LAKELAND, FL 33813-2599
(863) 232-4323
(863) 337-5728
Mailing address
5129 S LAKELAND DR STE 1, LAKELAND, FL 33813-2599
(863) 232-4323
(863) 337-5728
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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