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MIS PROVIDER NETWORK LLC

Family Medicine Physician

NPI: 1700529369Organization

Specialties, Licenses & Credentials

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

Counselor

Counselor

Code: 101Y00000X

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

Contact & Hours

Address
170 FITZGERALD RD STE 1
LAKELAND, FL 33813

Quick Facts

NPI
1700529369
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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