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Organization
EMBRACE TO EMPOWER WELLNESS CENTER
Active
Organization
EMBRACE TO EMPOWER WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATAMIA M WHITE-GREEN MD (PSYCHIATRIST)
(863) 937-5599
Entity
Organization
Contact information
Practice address
4720 CLEVELAND HEIGHTS BLVD STE 305, LAKELAND, FL 33813-2246
(863) 937-5599
(863) 816-5403
Mailing address
4720 CLEVELAND HEIGHTS BLVD STE 305, LAKELAND, FL 33813-2246
(863) 937-5599
(863) 816-5403
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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