Southside Medical Clinic
Southside Medical Clinic is a Clinic/Center in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
Practice location Address checks out
1707 E Edgewood DrLakeland, FL 33803-3470
Phone: (863) 688-9219
Fax: (863) 687-4863
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence ME0043239 (FL) |
|---|
Record details
| NPI number | 1356681845 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Suares — Medical Director · (863) 688-9219 |
| NPI enumerated | February 21, 2013 |
| Last updated in NPPES | February 21, 2013 |
| Mailing address | 1707 E Edgewood Dr, Lakeland, FL 33803-3470 |
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