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Dr. Carlos Enrique Fossi, M,D
Assisted Living Facility in Lakeland, Florida
NPI 1982627774

Carlos Enrique Fossi is an Assisted Living Facility based in Lakeland, FL. Carlos Enrique Fossi practices in Lakeland, FL and has the professional credentials of M,D. The NPI Number for Carlos Enrique Fossi is 1982627774 and holds a License No. ME51410 (Florida).

The current practice location address for Carlos Enrique Fossi is 5030 Kingswood Dr, Lakeland, FL and can be reached out via phone at 863-274-0853 and via fax at 863-582-9436.

Location: 5030 Kingswood Dr, Lakeland, FL, 33813-3026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982627774
Provider Name
Carlos Enrique Fossi
Credential
M,D
Provider Entity Type
Individual
Gender
Male
Address
5030 Kingswood Dr, Lakeland, FL, 33813-3026
Phone Number
863-274-0853
Fax Number
863-582-9436
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0644056-00 05 FL
institution
Provider Business Practice Location Address Details
Address
5030 Kingswood Dr
City
Lakeland
State
Florida
Zip
33813-3026
Phone Number
863-274-0853
Fax Number
863-582-9436
person
Provider Business Mailing Address Details
Address
5030 Kingswood Dr
City
Lakeland
State
Florida
Zip
33813-3026
Phone Number
863-274-0853
Fax Number
863-582-9436
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
ME51410 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
ME51410 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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