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Organization
COUNTY OF LAKE OFFICE CLERK BOARD COUNTY COMMISSIONERS
Active
Organization
COUNTY OF LAKE OFFICE CLERK BOARD COUNTY COMMISSIONERS
Active
Other names
Lake Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY I. SULLIVAN (BOARD CHAIRMAN)
(352) 343-9850
Entity
Organization
Contact information
Practice address
315 W MAIN ST, TAVARES, FL 32778-3813
(352) 343-9850
Mailing address
315 W MAIN ST, TAVARES, FL 32778-3813
(352) 343-9850
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10007
FL
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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