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Organization

LAKESIDE PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW J CORY MD (PARTNER)
(863) 688-3550
Entity
Organization

Contact information

Practice address
5950 S FLORIDA AVE, LAKELAND, FL 33813-2532
(863) 688-3550
(863) 687-8969
Mailing address
5950 S FLORIDA AVE, LAKELAND, FL 33813-2532
(863) 688-3550
(863) 687-8969

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
07/31/2006
Last updated
05/29/2015
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