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Lakewood Ccl, Llc
Multi-Specialty Clinic/Center in Wildwood, Florida
NPI 1922575802

Lakewood Ccl, Llc is a Multi-Specialty Clinic/Center based in Wildwood, FL and is specialized in Multi-Specialty. Lakewood Ccl, Llc practices in Wildwood, FL. The NPI Number for Lakewood Ccl, Llc is 1922575802 and holds a License No. (Florida).

The current practice location address for Lakewood Ccl, Llc is 5571 E Sr 44 Ste 501, Wildwood, FL and can be reached out via phone at 352-643-9070 and via fax at 352-571-6787.

Location: 5571 E Sr 44 Ste 501, Wildwood, FL, 34785-8282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922575802
Provider Name
Lakewood Ccl, Llc
Credential
Provider Entity Type
Organization
Address
5571 E Sr 44 Ste 501, Wildwood, FL, 34785-8282
Phone Number
352-643-9070
Fax Number
352-571-6787
Provider Enumeration Date
10/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5571 E Sr 44 Ste 501
City
Wildwood
State
Florida
Zip
34785-8282
Phone Number
352-643-9070
Fax Number
352-571-6787
person
Provider Business Mailing Address Details
Address
5571 E Sr 44 Ste 501
City
Wildwood
State
Florida
Zip
34785-8282
Phone Number
352-643-9070
Fax Number
352-571-6787
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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