Organization
JOGI WALK-IN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUGUNA KUMARI MANGILIPUDI OWNER (OWNER)
(863) 682-8200
Entity
Organization
Contact information
Practice address
1500 LAKELAND HILLS BLVD, SUITE #3, LAKELAND, FL 33805-3257
(863) 682-8200
(863) 687-4161
Mailing address
1500 LAKELAND HILLS BLVD, SUITE #3, LAKELAND, FL 33805-3257
(863) 682-8200
(863) 687-4161
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Enumeration date
05/10/2006
Last updated
01/21/2014
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