Organization
ICATS LAKELAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MICHAEL BENFIELD JR. MD (CEO)
(502) 327-9100
Entity
Organization
Contact information
Practice address
10151 DEERWOOD PARK BLVD STE 200-250, JACKSONVILLE, FL 32256-0589
(502) 327-9100
(855) 632-8329
Mailing address
140 WHITTINGTON PKWY STE 100, LOUISVILLE, KY 40222-4930
(502) 327-9100
(855) 632-8329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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