Organization
PALM MEDICAL CENTER LAKELAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEL N BOSWELL (CREDENTIALING MANAGER)
(813) 538-7880
Entity
Organization
Contact information
Practice address
613 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603-3400
(813) 237-1958
(813) 237-8147
Mailing address
2600 S DOUGLAS RD STE 308, CORAL GABLES, FL 33134-6134
(305) 913-9454
(305) 442-1198
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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