Organization
LAKE WALES MEDIAL CENTER
Active
Organization
LAKE WALES MEDIAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS VAREL MD (OWNER)
(407) 667-0444
Entity
Organization
Contact information
Practice address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(407) 667-0444
(407) 667-4338
Mailing address
291 SOUTHHALL LN, MAITLAND, FL 32751-7274
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME47687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31194
BCBS
FL
Enumeration date
07/08/2006
Last updated
08/22/2020
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