OrganizationActive
Lake Wales Primary Care Center, LLC
NPI 1750543344 · Specialist · Lake Wales, FL
Provider details
- NPI number
- 1750543344
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Medical Care Centers
- Organization subpart
- Yes
- Authorized official
- Namrata Amin, Chief Operating Officer(727) 251-1366
Specialties & taxonomies
Other Service Providers
Practice location
1120 Carlton Ave
Suite 2300
Lake Wales, FL 33853-4348
Phone: (727) 251-1366
Fax: (813) 968-5306
Approximate (ZIP-level) locationGet directions
Mailing address
6916 W Linebaugh Ave
Tampa, FL 33625-5815
Registry dates
- Enumerated
- 2008-06-26
- Last updated
- 2009-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.