Organization
CAPERNAUM MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC R VERNIER MD (PRESIDENT)
(212) 361-9408
Entity
Organization
Contact information
Practice address
5129 S LAKELAND DR, UNIT 1 AND 2, LAKELAND, FL 33813-2598
(212) 361-9408
Mailing address
PO BOX 95448, LAKELAND, FL 33804-5448
(212) 361-9408
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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