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1033308515
LAKELAND UROLOGY PA
LAKELAND, FL
NPI
1033308515
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Entity Type
Organization
Authorized Contact
EDUARDO C MORENO
Owner
863-644-0471
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: FL ME0029790)
Enumeration Date
2007-10-19
Last Update Date
2007-12-12
Business Address
LAKELAND UROLOGY PA
4435 FLORIDA NATIONAL DR
LAKELAND, FL 33813-1516
Phone number: 863-644-0471
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Mailing Address
LAKELAND UROLOGY PA
PO BOX 250
HIGHLAND CITY, FL 33846-0250
Phone number: 863-644-0471
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