| NPI | 1235708173 | 
|---|---|
| Other Name | FAMILY PRACTICE LAKELAND | 
| Entity Type | Organization | 
| Authorized Contact | LYNDA GORKEN VP, PFS 727-281-9202  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| Enumeration Date | 2021-06-24 | 
| Last Update Date | 2021-06-24 |