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NPI Code Detail

MEDICARE: LAKELAND FAMILY MEDICINE

MEDICARE: LAKELAND FAMILY MEDICINE
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
1261QP2300XPrimary Care Clinic/CenterME0048897FL

General Provider Information

NPI Number : 1760484745
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKELAND FAMILY MEDICINE
Provider Business Mailing Address
First Line : 1305 LAKELAND HILLS BLVD
Second Line : STE 101
City : LAKELAND
State : FL
Zip : 33805-4542
Country : US
Telephone Number : 863-687-9333
Fax Number : 863-686-0160
Provider Business Practice Location Address
First Line : 1305 LAKELAND HILLS BLVD
Second Line : SUITE 101
City : LAKELAND
State : FL
Zip : 33805-4542
Country : US
Telephone Number : 863-687-9333
Fax Number : 863-686-0160
Authorized Official
Title or Position : MEDICAL DOCTOR
Name : DR. RIFAT SARWAR
Credential : M.D
Telephone Number : 863-687-9333
Provider Enumeration Date : 08/10/2005
Last Update Date : 02/25/2008

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Directions to “LAKELAND FAMILY MEDICINE ” Practice Location

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