Lake Wales Medical Walk In Clinic Pa in Lake Wales - Internal Medicine
Lake Wales Medical Walk In Clinic Pa - NPI 1336196278
Lake Wales Medical Walk In Clinic Pa is a Internal Medicine in Lake Wales, Florida. Lake Wales Medical Walk In Clinic Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lake Wales Medical Walk In Clinic Pa is 1336196278. The last update date is 2013-02-06.
Lake Wales Medical Walk In Clinic Pa's current location address is 1611 State Road 60 E, Lake Wales, Florida. You can contact this provider via phone number 8636766007 and fax number 8636767659. The mailing address for Lake Wales Medical Walk In Clinic Pa is 1611 State Road 60 E, Lake Wales, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Wales Medical Walk In Clinic Pa |
|---|---|
| Address | 1611 State Road 60 E, Lake Wales, Florida |
| Phone Number | 8636766007 |
| Fax Number | 8636767659 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Allen Susan |
| Telephone Number | 8636766007 |
NPI Number Detail
| NPI Number | 1336196278 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2013-02-06 |
Provider Mailing Address Detail
| Address | 1611 State Road 60 E |
|---|---|
| City | Lake Wales |
| State | Florida (FL) |
| Post Code | 338534309 |
| Phone Number | 8636766007 |
| Fax Number | 8636767659 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | ME87271 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 265413000 | FL | -- | |
| 97246 | FL | BLUE CROSS BLUE SHEILD FL | |
| 159572100 | DEPARTMENT OF LABOR OWCP | ||
| 5600 | HUMANA | ||
| 3499276 | AETNA HEALTH MGMT LLC |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lake Wales Medical Walk In Clinic Pa by the Centers for Medicare & Medicaid Services?
The Lake Wales Medical Walk In Clinic Pa has been issued the NPI (National Provider Identifier) 1336196278, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lake Wales Medical Walk In Clinic Pa's facilities are situated?
The facilities of Lake Wales Medical Walk In Clinic Pa are physically located at the following address: 1611 State Road 60 E, Lake Wales, FL, 338534309.
What is Lake Wales Medical Walk In Clinic Pa's area of expertise and its corresponding taxonomy classification?
The Lake Wales Medical Walk In Clinic Pa's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Lake Wales Medical Walk In Clinic Pa receive its 1336196278 assignment from the Centers for Medicare & Medicaid Services?
The Lake Wales Medical Walk In Clinic Pa was assigned its 1336196278 on 2006-05-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Lake Wales Medical Walk In Clinic Pa most recently updated or revised?
The information pertaining to Lake Wales Medical Walk In Clinic Pa, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-06.