| NPI | 1174196042 |
|---|---|
| Doing Business As | PALM MEDICAL CENTERS SOUTH LAKELAND |
| Entity Type | Organization |
| Authorized Contact | SANTIAGO MOISES MARTIN COO 305-913-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-09-22 |