| NPI | 1396949293 |
|---|---|
| Doing Business As | LAKE PARK INTERNAL MEDICNE |
| Entity Type | Organization |
| Authorized Contact | PAM FARLEY Office Manager 813-908-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME82596) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |