Organization
PALM MEDICAL CENTER LAKELAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO MOISES MARTIN (PRESIDENT CENTER OPERATIONS)
(305) 913-9441
Entity
Organization
Contact information
Practice address
2698 S ORLANDO DR, SANFORD, FL 32773-5339
(407) 487-8975
(407) 487-8983
Mailing address
2600 S DOUGLAS RD STE 308, CORAL GABLES, FL 33134-6134
(305) 913-9454
(305) 442-1198
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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