Organization
CENTRAL PARC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANE R PHILLIPS D.O. (PHYSICIAN)
(407) 804-9494
Entity
Organization
Contact information
Practice address
920 INTERNATIONAL PKWY, SUITE # 1056, LAKE MARY, FL 32746-5219
(407) 915-5300
(407) 915-6334
Mailing address
920 INTERNATIONAL PKWY, SUITE # 1056, LAKE MARY, FL 32746-5219
(407) 915-5300
(407) 915-6334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
10/29/2015
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