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Lidzoe Correa- Mateo, MD
General Practice Physician in Lakeland, Florida
NPI 1609040229

Lidzoe Correa- Mateo is a General Practice Physician based in Lakeland, FL. Lidzoe Correa- Mateo practices in Lakeland, FL and has the professional credentials of MD. The NPI Number for Lidzoe Correa- Mateo is 1609040229 and holds a License No. ACN895 (Florida).

The current practice location address for Lidzoe Correa- Mateo is 5985 S Florida Ave, Lakeland, FL and can be reached out via phone at 863-644-8459.

Location: 5985 S Florida Ave, Lakeland, FL, 33813-2533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609040229
Provider Name
Lidzoe Correa- Mateo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5985 S Florida Ave, Lakeland, FL, 33813-2533
Phone Number
863-644-8459
Fax Number
Provider Enumeration Date
04/15/2008
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ACN895 01 FL FLORIDA LICENSE
institution
Provider Business Practice Location Address Details
Address
5985 S Florida Ave
City
Lakeland
State
Florida
Zip
33813-2533
Phone Number
863-644-8459
Fax Number
person
Provider Business Mailing Address Details
Address
5985 S Florida Ave
City
Lakeland
State
Florida
Zip
33813-2533
Phone Number
863-644-8459
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ACN895 (Florida)
Definition
Definition to come...
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