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

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Student (Health Education/Training) · LAKELAND, FL

Registration Details

NPI Number
1417403841
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2016 (9.6718516575812 yrs)
Last Updated
Aug 26, 2016

Practice Information

Address
111 LAKE HOLLINGSWORTH DR
BOX #4036
LAKELAND, FL, 338015607
Browse FL providers · Browse ZIP 33801
Phone
8636804267
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in LAKELAND, FL

Name Credential NPI
DIANALYN ESCOBER DE LEON MD 1144536756
MR. AUSTIN JARRETT SMITH 1811368145
ADRIA DUNCAN 1629443858
ALEXANDER ORR I 1265897490
SCOTT MICHAEL HECKMAN 1285099416
NICHOLAS GRESBACH 1134584386
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.