Organization
CAPERNAUM MEDICAL CENTER FOR KIDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC R VERNIER MD (PRESIDENT)
(863) 232-4323
Entity
Organization
Contact information
Practice address
2024 EDGEWOOD DR S, LAKELAND, FL 33803
(863) 232-4323
(863) 337-5728
Mailing address
2024 EDGEWOOD DR S, LAKELAND, FL 33803-3637
(863) 232-4323
(863) 337-5728
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
08/15/2024
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