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1003256215
ICATS LAKELAND LLC
JACKSONVILLE, FL
NPI
1003256215
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Entity Type
Organization
Authorized Contact
JERRY MICHAEL BENFIELD
CEO
502-327-9100
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2013-07-02
Last Update Date
2013-07-02
Business Address
ICATS LAKELAND LLC
10151 DEERWOOD PARK BLVD STE 200-250
JACKSONVILLE, FL 32256-0589
Phone number: 502-327-9100
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Mailing Address
ICATS LAKELAND LLC
140 WHITTINGTON PKWY STE 100
LOUISVILLE, KY 40222-4930
Phone number: 502-327-9100
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