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Organization

INTERVENTIONAL ASSOCIATES OF LAKELAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARC OTT (PRESIDENT)
(407) 977-3434
Entity
Organization

Contact information

Practice address
1205 EAST MAGNOLIA ST, SUITE 101, LAKELAND, FL 33801
(863) 272-7930
(863) 272-7931
Mailing address
1205 EAST MAGNOLIA ST, SUITE 101, LAKELAND, FL 33801
(863) 272-7930
(863) 272-7931

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/10/2017
Last updated
05/10/2017
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