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Organization
LAKE WORTH MEDICAL CLINIC CORP
Active
Organization
LAKE WORTH MEDICAL CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA MARIA SMITH (PRESIDENT)
(561) 660-7399
Entity
Organization
Contact information
Practice address
6295 LAKE WORTH RD STE 30, GREENACRES, FL 33463-3034
(561) 377-7006
Mailing address
6295 LAKE WORTH RD STE 30, GREENACRES, FL 33463-3034
(561) 660-7399
(561) 660-7549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/21/2020
Last updated
06/05/2025
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