Organization
LAKE WALE PEDIATRIC INTERNAL MEDICINE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR AMADOR OROPEZA M.D. (MEDICAL DOCTOR)
(863) 676-8935
Entity
Organization
Contact information
Practice address
425 S 11TH ST, LAKE WALES, FL 33853-4239
(863) 676-8935
(863) 679-2691
Mailing address
425 S 11TH ST, LAKE WALES, FL 33853-4239
(863) 676-8935
(863) 679-2691
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME87271-ME90317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL 597
MEDICARE PROVIDER GROUP
FL
Enumeration date
04/10/2008
Last updated
07/21/2022
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