Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Apr 19, 2013
License(s)
ME140543 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1600 LAKELAND HILLS BLVD | Lakeland, FL 33805 | 863-680-7214 |
| MAILING | 1600 LAKELAND HILLS BLVD | Lakeland, FL 33805-3065 | 863-680-7000 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.