Organization
LAKELAND PHYSICIANS & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN THOMAS (PRACTICE ADMINISTRATOR)
(863) 210-5640
Entity
Organization
Contact information
Practice address
1818 HARDEN BLVD, STE 120, LAKELAND, FL 33803-1812
(863) 210-5640
(863) 210-5716
Mailing address
PO BOX 470426, LAKE MONROE, FL 32747-0426
(863) 210-5640
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
01/19/2017
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