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Organization
PALM MEDICAL CENTER LAKELAND LLC
Active
Organization
PALM MEDICAL CENTER LAKELAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO MOISES MARTIN (PRESIDENT OF CENTER OPERATIONS)
(305) 913-9441
Entity
Organization
Contact information
Practice address
6836 MEDICAL VIEW LN, ZEPHYRHILLS, FL 33542-6615
(813) 859-5449
(813) 395-5478
Mailing address
2600 S DOUGLAS RD STE 308, CORAL GABLES, FL 33134-6134
(727) 255-4416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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