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Dr. Mario Theliard, MD
Family Medicine Physician in Lakeland, Florida
NPI 1669804720

Mario Theliard is a Family Medicine Physician based in Winter Haven, FL. Mario Theliard practices in Lakeland, FL and has the professional credentials of MD. The NPI Number for Mario Theliard is 1669804720 and holds a License No. 020982 (Florida).

The current practice location address for Mario Theliard is 3810 S Florida Ave, Lakeland, FL and can be reached out via phone at 863-858-8000. You can also correspond with Mario Theliard through the mailing address at 4094 LAKE NED VILLAGE CIR, WINTER HAVEN, FL - 33884-2587 (mailing address contact number: 561-215-4914).

Location: 3810 S Florida Ave, Lakeland, FL, 33884-2587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669804720
Provider Name
Mario Theliard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3810 S Florida Ave, Lakeland, FL, 33884-2587
Phone Number
863-858-8000
Fax Number
Provider Enumeration Date
07/31/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669804720 05 FL
MARIO71 05 FL
institution
Provider Business Practice Location Address Details
Address
3810 S Florida Ave
City
Lakeland
State
Florida
Zip
33813-1105
Phone Number
863-858-8000
Fax Number
person
Provider Business Mailing Address Details
Address
3810 S Florida Ave
City
Lakeland
State
Florida
Zip
33813-1105
Phone Number
863-858-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME140780 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
020982 ()
Definition
Definition to come...
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