SOUTHSIDE MEDICAL CLINIC

LAKELAND, FL
NPI1356681845
Entity TypeOrganization
Authorized ContactROGER DAVID SUARES
Medical Director
863-688-9219
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: FL  ME0043239)
Enumeration Date2013-02-21
Last Update Date2013-02-21
Business Address
SOUTHSIDE MEDICAL CLINIC
1707 E EDGEWOOD DR
LAKELAND, FL 33803-3470
Phone number: 863-688-9219
Mailing Address
SOUTHSIDE MEDICAL CLINIC
1707 E EDGEWOOD DR
LAKELAND, FL 33803-3470
Phone number: 863-688-9219
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