NPI | 1730940917 |
---|---|
Doing Business As | ADVENTHEALTH CENTRA CARE S. LAKELAND |
Entity Type | Organization |
Authorized Contact | SCOTT C BRADY President 407-200-2300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2024-01-16 |
Last Update Date | 2024-01-16 |