Organization
BEACON MEDICAL CENTER OF LAKELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIO A BRAVO (OWNER)
(305) 905-1399
Entity
Organization
Contact information
Practice address
2419 US HIGHWAY 98 N, LAKELAND, FL 33805
(863) 333-0741
Mailing address
2419 US HIGHWAY 98 N, LAKELAND, FL 33805
(863) 333-0741
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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