Capernaum Medical Center
in Lakeland, FL. Organization (NPI-2).
NPI number1134675317
StatusActive
Last updated in NPPESAug 29, 2016
Details
- NPI
- 1134675317
- Entity type
- Organization (NPI-2)
- Legal business name
- Capernaum Medical Center
- Organization subpart
- No
- Enumeration date
- Aug 29, 2016
- Last updated
- Aug 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0600X | – | – | Yes | |
| 2080P0210X | Pediatrics, Pediatric Nephrology | – | – |
Practice location
5129 S Lakeland DrUnit 1 And 2
Lakeland, FL 33813-2598
Phone 212-361-9408
Mailing address
Po Box 95448Lakeland, FL 33804-5448
Phone 212-361-9408
Authorized official
Eric R Vernier
President
2123619408
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