Organization
MARY L PEPINE MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN PEPINE MD (OWNER)
(863) 687-2055
Entity
Organization
Contact information
Practice address
727 S FLORIDA AVE, LAKELAND, FL 33801-5232
(863) 687-2055
(863) 687-2155
Mailing address
727 S FLORIDA AVE, LAKELAND, FL 33801-5232
(863) 687-2055
(863) 687-2155
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME67049
FL
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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