Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eagle Ridge Medical Center Co

Organization Primary Care Clinic/Center · NPI 1669592564

Eagle Ridge Medical Center Co is a Primary Care Clinic/Center in Lake Wales, Florida. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

1030 Chalet Suzanne Rd
Lake Wales, FL 33859-7760
Phone: (863) 679-1818
Fax: (863) 679-1097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1669592564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margaret Eastham — President · (863) 679-1818
Other names Blue Ridge Medical Center
NPI enumeratedApril 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1030 Chalet Suzanne Rd, Lake Wales, FL 33859-7760

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