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1235824640
POLK CONCIERGE MEDICAL GROUP, LLC
LAKELAND, FL
NPI
1235824640
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Entity Type
Organization
Authorized Contact
ASIA M STANDIFER
CEO
352-807-2197
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
POLK CONCIERGE MEDICAL GROUP, LLC
304 E PINE ST # 1143
LAKELAND, FL 33801-4969
Phone number: 863-339-2025
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Mailing Address
POLK CONCIERGE MEDICAL GROUP, LLC
304 E PINE ST # 1143
LAKELAND, FL 33801-4969
Phone number: 863-339-2025
Copy
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