Organization
CAPERNAUM MEDICAL CENTER FOR KIDS PLLC
Active
Parent organization
CAPERNAUM MEDICAL CENTER FOR KIDS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPERNAUM MEDICAL CENTER FOR KIDS, PLLC
Authorized official
ERIC ROBERTO VERNIER MD (MD)
(813) 647-6050
Entity
Organization
Contact information
Practice address
2024 EDGEWOOD DR S, LAKELAND, FL 33803-3637
(863) 232-4323
(863) 337-5728
Mailing address
2024 EDGEWOOD DR S, LAKELAND, FL 33803-3637
(863) 232-4323
(863) 337-5728
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
08/15/2024
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