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1386492726
POLARIS MEDICAL GROUP PA
LAKELAND, FL
NPI
1386492726
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Entity Type
Organization
Authorized Contact
JAISON JOSEPH LUKE
Vice President
407-729-4298
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-05-10
Last Update Date
2024-05-10
Business Address
POLARIS MEDICAL GROUP PA
1705 LAKELAND HILLS BLVD STE 1
LAKELAND, FL 33805-3061
Phone number: 863-688-6051
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Mailing Address
POLARIS MEDICAL GROUP PA
1705 LAKELAND HILLS BLVD STE 1
LAKELAND, FL 33805-3061
Phone number: 863-688-6051
Copy
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