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Organization

EMBRACE TO EMPOWER WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATAMIA M WHITE-GREEN MD (PSYCHIATRIST)
(863) 937-5599
Entity
Organization

Contact information

Practice address
4720 CLEVELAND HEIGHTS BLVD STE 305, LAKELAND, FL 33813-2246
(863) 937-5599
(863) 816-5403
Mailing address
4720 CLEVELAND HEIGHTS BLVD STE 305, LAKELAND, FL 33813-2246
(863) 937-5599
(863) 816-5403

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary

Other

Enumeration date
12/04/2017
Last updated
12/04/2017
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