Organization
LAKESIDE OF LAKELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLENE GUZIK ARNP (VP OPERATIONS)
(727) 532-7644
Entity
Organization
Contact information
Practice address
1750 N BROADWAY AVE, BARTOW, FL 33830-3103
(863) 533-2030
Mailing address
1750 N BROADWAY AVE, BARTOW, FL 33830-3103
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
ME 25396
FL
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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