Organization
PALM MEDICAL CENTER LAKELAND LLC
Active
Other names
Palm Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO MOISES MARTIN (PRESIDENT OF CENTERS)
(305) 913-9441
Entity
Organization
Contact information
Practice address
14807 E COLONIAL DR STE 112, ORLANDO, FL 32826-5122
(407) 250-6742
(407) 203-6742
Mailing address
2600 S DOUGLAS RD STE 308, CORAL GABLES, FL 33134-6134
(813) 538-7880
(813) 538-7880
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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