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

Lake Wales Primary Care Center, LLC

Organization Specialist · NPI 1750543344

Lake Wales Primary Care Center, LLC is a Specialist in Lake Wales, Florida. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1120 Carlton Ave Ste 2300
Lake Wales, FL 33853-4348
Phone: (727) 251-1366
Fax: (813) 968-5306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1750543344
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedical Care Centers
Authorized official Namrata Amin — Chief Operating Officer · (727) 251-1366
NPI enumeratedJune 26, 2008
Last updated in NPPESApril 27, 2009
Mailing address6916 W Linebaugh Ave, Suite 101, Tampa, FL 33625-5815

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