Lake Wale Pediatric Internal Medicine P.A.

LBN: Lake Wale Pediatric Internal Medicine P.A.
Lake Wale Pediatric Internal Medicine P.A. is an health care organization with primary practice located at 425 S 11Th St , Lake Wales FL 33853-4239. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Lake Wale Pediatric Internal Medicine P.A. can be contacted via phone (863) 676-8935, or through Oropeza, Oscar Amador via phone (863) 676-8935.

Contact Information

Primary practice address
425 S 11Th St Lake Wales FL 33853-4239
Fax: (863) 679-2691
Website:
Authorized official contact:
Name: Oropeza, Oscar Amador Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME87271-ME90317 Florida

Profile Details

NPI number 1831362805
LBN Legal business name Lake Wale Pediatric Internal Medicine P.A.
DBA Doing business as
Authorized official Oropeza, Oscar Amador Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2008
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831362805 NPPES
Florida Other AL 597 MEDICARE PROVIDER GROUP

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