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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHSIDE MEDICAL CLINIC

Active Organization

SOUTHSIDE MEDICAL CLINIC is a Clinic/Center organization located in LAKELAND, Florida. NPI 1356681845 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · LAKELAND, FL

Registration Details

NPI Number
1356681845
Provider Type
Organization
NPI Issued
Feb 21, 2013 (13.450650178174 yrs)
Last Updated
Feb 21, 2013
License
ME0043239 (FL)

Practice Information

Address
1707 E EDGEWOOD DR
LAKELAND, FL, 338033470
Browse FL providers · Browse ZIP 33803
Phone
8636889219
Fax
8636874863
Primary Specialty
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.