Lake Wale Pediatric Internal Medicine P.A. in Lake Wales - Primary Care

Lake Wale Pediatric Internal Medicine P.A. - NPI 1831362805

Lake Wale Pediatric Internal Medicine P.A. is a Primary Care in Lake Wales, Florida. Lake Wale Pediatric Internal Medicine P.A. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Lake Wale Pediatric Internal Medicine P.A. is 1831362805. The last update date is 2022-07-21.

Lake Wale Pediatric Internal Medicine P.A.'s current location address is 425 S 11th St, Lake Wales, Florida. You can contact this provider via phone number 8636768935 and fax number 8636792691. The mailing address for Lake Wale Pediatric Internal Medicine P.A. is 425 S 11th St, Lake Wales, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lake Wale Pediatric Internal Medicine P.A.
Address 425 S 11th St, Lake Wales, Florida
Phone Number 8636768935
Fax Number 8636792691
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DO
Authorized Official Name Oropeza Amador Oscar
Credentials M.D.
Telephone Number 8636768935

NPI Number Detail

NPI Number 1831362805
Provider Enumeration Date 2008-04-10
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 425 S 11th St
City Lake Wales
State Florida (FL)
Post Code 338534239
Phone Number 8636768935
Fax Number 8636792691

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No ME87271-ME90
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
AL 597 FL MEDICARE PROVIDER GROUP

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FAQs about Lake Wale Pediatric Internal Medicine P.A.

What is the unique 10-digit identifier code assigned to Lake Wale Pediatric Internal Medicine P.A. by the Centers for Medicare & Medicaid Services?

The Lake Wale Pediatric Internal Medicine P.A. has been issued the NPI (National Provider Identifier) 1831362805 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Lake Wale Pediatric Internal Medicine P.A. is geographically located?

The Lake Wale Pediatric Internal Medicine P.A. is physically situated at the following location: 425 S 11Th St, Lake Wales, FL, 338534239.

What is Lake Wale Pediatric Internal Medicine P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lake Wale Pediatric Internal Medicine P.A. is Primary Care, and the taxonomy code that classifies this field of practice is 261Qp2300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1831362805 to Lake Wale Pediatric Internal Medicine P.A.?

The Lake Wale Pediatric Internal Medicine P.A. received its 1831362805 assignment from the Centers for Medicare & Medicaid Services on 2008-04-10.

As of what date were the details pertaining to Lake Wale Pediatric Internal Medicine P.A. last refreshed?

The information related to the Lake Wale Pediatric Internal Medicine P.A., including its address, specialty, and other relevant details, was last updated on 2022-07-21.

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