Organization
PALM MEDICAL CENTER LAKELAND LLC
Active
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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