Lake Wales Clinic Corp
LBN: Lake Wales Clinic Corp
Lake Wales Clinic Corp is an health care organization with primary practice located at 410 S 11Th St , Lake Wales FL 33853-4203. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Lake Wales Clinic Corp can be contacted via phone (863) 676-1433, or through Wright, James P via phone (615) 778-1502.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | ||
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1457350027 |
|---|---|
| LBN Legal business name | Lake Wales Clinic Corp |
| DBA Doing business as | |
| Authorized official | Wright, James P |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jul 22nd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457350027 | NPPES |
| Florida | MEDICAID | 26904200 | |
| Florida | Other | 74943 |
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