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, CENTER OPERATIONS)
(305) 913-9441
Entity
Organization
Contact information
Practice address
1221 W STRATFORD RD, AVON PARK, FL 33825-8091
(863) 453-2500
(863) 453-0745
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
04/11/2023
Last updated
04/11/2023
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