Organization
ALEXANDER C MBAKWEM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER C MBAKWEM MD (MD, OWNER)
(863) 644-9500
Entity
Organization
Contact information
Practice address
5421 S FLORIDA AVE, LAKELAND, FL 33813-2523
(863) 644-9500
(863) 644-9555
Mailing address
6670 CRESCENT WOODS CIR, LAKELAND, FL 33813-4612
(863) 644-9500
(863) 644-9555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME92808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277193400
—
FL
Enumeration date
02/07/2011
Last updated
02/07/2011
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