# ALEXANDER C MBAKWEM MD PA

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

## Provider details

- **NPI number:** 1972809093
- **Authorized official:** ALEXANDER C MBAKWEM MD (MD, OWNER)
- **Authorized official phone:** (863) 644-9500

## Contact information

- **Practice address:** 5421 S FLORIDA AVE, LAKELAND, FL 33813-2523
- **Practice address phone:** (863) 644-9500
- **Practice address fax:** (863) 644-9555
- **Mailing address:** 6670 CRESCENT WOODS CIR, LAKELAND, FL 33813-4612
- **Mailing address phone:** (863) 644-9500
- **Mailing address fax:** (863) 644-9555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME92808 | FL | Yes |

## Other

- **Enumeration date:** 02/07/2011
- **Last updated:** 02/07/2011