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NPI Profile for MULTI SPECIALTY PRIMARY CARE PRACTICE GROUP OF LAKE WALES LLC in LAKE WALES, FL.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI # | 1467605634 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/31/2008 | |
| Last updated | 04/08/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MULTI-SPECIALTY & PRIMARY CARE PRACTICE GROUP OF LAKE WALES LLC