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1518346196
SIMON CHAMAKALAYIL
LAKELAND, FL
NPI
1518346196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: FL ME151803)
Enumeration Date
2015-05-28
Last Update Date
2022-06-13
Business Address
Dr. SIMON CHAMAKALAYIL M.D.
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1275
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Mailing Address
Dr. SIMON CHAMAKALAYIL M.D.
1324 LAKELAND HILLS BLVD ATTN: MANAGED CARE DEPT
LAKELAND, FL 33805-5329
Phone number: 863-687-1100
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