| NPI | 1194801316 |
|---|---|
| Doing Business As | LAKELAND ORTHOPAEDIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | FREDERICK MARK GOODWIN President 863-688-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-04-12 |