# JOGI WALK-IN CLINIC INC

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

## Provider details

- **NPI number:** 1629027008
- **Authorized official:** SUGUNA KUMARI MANGILIPUDI OWNER (OWNER)
- **Authorized official phone:** (863) 682-8200

## Contact information

- **Practice address:** 1500 LAKELAND HILLS BLVD, SUITE \#3, LAKELAND, FL 33805-3257
- **Practice address phone:** (863) 682-8200
- **Practice address fax:** (863) 687-4161
- **Mailing address:** 1500 LAKELAND HILLS BLVD, SUITE \#3, LAKELAND, FL 33805-3257
- **Mailing address phone:** (863) 682-8200
- **Mailing address fax:** (863) 687-4161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | FL | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 01/21/2014