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

Lake Wales Medical Walk in Clinic PA

Organization Internal Medicine Physician · NPI 1336196278

Lake Wales Medical Walk in Clinic PA is an Internal Medicine Physician in Lake Wales, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1611 State Road 60 E
Lake Wales, FL 33853-4309
Phone: (863) 676-6007
Fax: (863) 676-7659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME87271 (FL)

Record details

NPI number1336196278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Allen — Office Manager · (863) 676-6007
NPI enumeratedMay 27, 2006
Last updated in NPPESFebruary 6, 2013
Mailing address1611 State Road 60 E, Lake Wales, FL 33853-4309

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