| NPI | 1881710135 |
|---|---|
| Doing Business As | LAKE WALES FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JAMES A NELSON Owner 863-676-7914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |