Organization
LAKELAND WOMEN'S HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISELLA MARENGO (BILLING AND CONTRACT MANAGER)
(727) 442-0445
Entity
Organization
Contact information
Practice address
4444 S FLORIDA AVE, LAKELAND, FL 33813-2159
(863) 644-7541
(863) 646-4308
Mailing address
2106 DREW ST, STE 103, CLEARWATER, FL 33765-3238
(727) 442-0445
(727) 447-3797
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
760
FL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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