Organization
CITRUS PARK INTERNAL MEDICINE
Active
Other names
LAKE PARK INTERNAL MEDICNE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM FARLEY (OFFICE MANAGER)
(813) 908-5253
Entity
Organization
Contact information
Practice address
16646 N DALE MABRY HWY, TAMPA, FL 33618-1400
(813) 908-5253
(813) 908-9100
Mailing address
PO BOX 273788, TAMPA, FL 33688-3788
(813) 908-5253
(813) 908-9100
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME82596
FL
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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