Individual
DR. BISHOY KOLTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1275
(863) 284-1534
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPARTMENT, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME131173
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME131173
FL
Other
Enumeration date
02/23/2017
Last updated
08/04/2023
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