Organization
PALM MEDICAL CENTER LAKELAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO MOISES MARTIN (PRESIDENT OF CENTER OPERATIONS)
(305) 913-9441
Entity
Organization
Contact information
Practice address
425 S PARSONS AVE # 120, BRANDON, FL 33511-5289
(813) 358-4249
(813) 358-4303
Mailing address
2600 S DOUGLAS RD STE 308, CORAL GABLES, FL 33134-6134
(305) 913-9454
(305) 442-1198
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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