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LAKE WALES MEDICAL WALK IN CLINIC PA
NPI 1336196278
Internal Medicine in Lake Wales, FL

Active since May 27, 2006
1611 STATE ROAD 60 E, LAKE WALES, FL 33853(863) 676-6007(863) 676-7659 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Wales Medical Walk In Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE WALES MEDICAL WALK IN CLINIC PA (NPI 1336196278) is a healthcare organization registered as an internal medicine in Lake Wales, Florida and active in the NPI registry since May 2006. The organization lists Susan Allen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336196278
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKE WALES MEDICAL WALK IN CLINIC PA
Location Address1611 STATE ROAD 60 ELake Wales, FL 33853-4309
Mailing Address1611 State Road 60 ELake Wales, FL 33853-4309 · (863) 676-6007 · Fax (863) 676-7659
Phone(863) 676-6007
Fax(863) 676-7659
Organization SubpartNo
Authorized OfficialSusan AllenOffice Manager · (863) 676-6007
Enumeration DateMay 27, 2006
Last NPPES UpdateFebruary 6, 2013
✔ NPI 1336196278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME87271
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1611 STATE ROAD 60 E, Lake Wales, FL 33853
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Other Identifiers 9

Other159572100Department Of Labor Owcp
Medicaid265413000FL
Other3499276Aetna Health Mgmt Llc
Other========= 0014Cigna Health Care
Medicare ID-Type UnspecifiedV0010501FL · Citrus Health Care
Other========= 33853 C001Wps Tricare
Other000005600Humana
Medicare ID-Type Unspecified97246FL · Provider Number
Other97246FL · Blue Cross Blue Sheild Fl

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH DARAZI
Optometrist
1611 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 676-2020
DR. WILLARD CAIL PEARCE JR. O.D.
Optometrist
1611 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 676-2020
MYEYEDR. OPTOMETRY OF FLORIDA, LLC
Optometrist
1611 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 676-2020
EDUVIGIA ANCAYA M.D.
Dermatology
1611 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 676-6007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Wales Medical Walk In Clinic PA's NPI number?

The NPI number for Lake Wales Medical Walk In Clinic PA is 1336196278. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Lake Wales Medical Walk In Clinic PA located?

Lake Wales Medical Walk In Clinic PA is located at 1611 State Road 60 E, Lake Wales, FL 33853. The listed phone number is (863) 676-6007.

What is Lake Wales Medical Walk In Clinic PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Lake Wales Medical Walk In Clinic PA was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.