Organization
CITY OF LAKE WALES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GARNELLO (RECREATION DIVISION MANAGER)
(863) 678-4182
Entity
Organization
Contact information
Practice address
1001 BURNS AVE, LAKE WALES, FL 33853-2621
(863) 678-4182
Mailing address
1001 BURNS AVE, LAKE WALES, FL 33853-2621
(863) 678-4182
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
02/15/2024
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