Lake Wales Clinic Corp in Lake Wales - Family Medicine
Lake Wales Clinic Corp - NPI 1457350027
Lake Wales Clinic Corp is a Family Medicine in Lake Wales, Florida. Lake Wales Clinic Corp practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lake Wales Clinic Corp is 1457350027. The last update date is 2019-07-22.
Lake Wales Clinic Corp's current location address is 410 S 11th St, Lake Wales, Florida. You can contact this provider via phone number 8636761433. The mailing address for Lake Wales Clinic Corp is 410 S 11th St, Lake Wales, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Wales Clinic Corp |
|---|---|
| Address | 410 S 11th St, Lake Wales, Florida |
| Phone Number | 8636761433 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP PHYSICI |
|---|---|
| Authorized Official Name | Wright P James |
| Telephone Number | 6157781502 |
NPI Number Detail
| NPI Number | 1457350027 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2019-07-22 |
Provider Mailing Address Detail
| Address | 410 S 11th St |
|---|---|
| City | Lake Wales |
| State | Florida (FL) |
| Post Code | 3385342030 |
| Phone Number | 8636761433 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26904200 | FL | -- | |
| 74943 | FL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Lake Wales Clinic Corp by the Centers for Medicare & Medicaid Services?
The Lake Wales Clinic Corp has been assigned the NPI (National Provider Identifier) 1457350027. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lake Wales Clinic Corp is physically located?
The Lake Wales Clinic Corp is situated at the following address: 410 S 11Th St, Lake Wales, FL 3385342030.
On what date was the 1457350027 assigned to Lake Wales Clinic Corp?
The Lake Wales Clinic Corp was issued its 1457350027 on 2005-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Lake Wales Clinic Corp receive the assignment of its 1457350027 from the Centers for Medicare & Medicaid Services?
The Lake Wales Clinic Corp was issued its 1457350027 by the Centers for Medicare & Medicaid Services on 2005-07-18.
As of what date was the information pertaining to Lake Wales Clinic Corp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lake Wales Clinic Corp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-07-22.