Organization
CARDIOLOGY ASSOCIATES OF POLK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN TALIT (OFFICE MANAGER)
(863) 682-8401
Entity
Organization
Contact information
Practice address
1417 LAKELAND HILLS BLVD, SUITE 106, LAKELAND, FL 33805-3200
(863) 682-8401
(863) 802-9611
Mailing address
PO BOX 93254, LAKELAND, FL 33804-3254
(863) 682-8401
(863) 802-9611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME87246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062994400
—
FL
Enumeration date
05/30/2007
Last updated
04/06/2009
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