MEDICARE: FAMILY MEDICAL SPECIALISTS OF PLANT CITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician		FL

General Provider Information

NPI Number	:	1609064237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY MEDICAL SPECIALISTS OF PLANT CITY

Provider Business Mailing Address
First Line	:	1708 PALMETTO AVE
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-7238
Country	:	US
Telephone Number	:	813-754-6700
Fax Number	:	813-754-6776

Provider Business Practice Location Address
First Line	:	1708 PALMETTO AVE
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-7238
Country	:	US
Telephone Number	:	813-754-6700
Fax Number	:	813-754-6776

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DOLORES K LOWE
Credential	:	MD
Telephone Number	:	813-754-6700

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	12/20/2007

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