Organization
DOCTORTODAY TLC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEETENDRA K ISSAR M.D. (MEDICAL DOCTOR)
(863) 858-8000
Entity
Organization
Contact information
Practice address
4435 US HIGHWAY 98 N, LAKELAND, FL 33809-0402
(863) 858-8000
(863) 858-8005
Mailing address
3810 S FLORIDA AVE, LAKELAND, FL 33813-1105
(863) 619-5100
(863) 619-5102
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
ME86343
FL
Other
Enumeration date
10/13/2014
Last updated
10/16/2014
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