Cardiology Associates Of Polk County
Specialist in Lakeland, FL. Organization (NPI-2).
NPI number1861693616
StatusActive
Last updated in NPPESApr 6, 2009
Details
- NPI
- 1861693616
- Entity type
- Organization (NPI-2)
- Legal business name
- Cardiology Associates Of Polk County
- Organization subpart
- No
- Enumeration date
- May 30, 2007
- Last updated
- Apr 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | ME87246 | FL | Yes |
Practice location
1417 Lakeland Hills BlvdSuite 106
Lakeland, FL 33805-3200
Phone 863-682-8401 · Fax 863-802-9611
Mailing address
Po Box 93254Lakeland, FL 33804-3254
Phone 863-682-8401 · Fax 863-802-9611
Authorized official
Susan Talit
Office Manager
8636828401
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