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Alexander C Mbakwem MD PA

Internal Medicine in Lakeland, FL. Organization (NPI-2).

NPI number1972809093
StatusActive
Last updated in NPPESFeb 7, 2011

Details

NPI
1972809093
Entity type
Organization (NPI-2)
Legal business name
Alexander C Mbakwem MD PA
Organization subpart
No
Enumeration date
Feb 7, 2011
Last updated
Feb 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME92808FLYes

Practice location

5421 S Florida Ave
Lakeland, FL 33813-2523

Phone 863-644-9500 · Fax 863-644-9555

Mailing address

6670 Crescent Woods Cir
Lakeland, FL 33813-4612

Phone 863-644-9500 · Fax 863-644-9555

Authorized official

Alexander C Mbakwem
MD, Owner
8636449500

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