LAKE WALES CLINIC CORP
NPI 1457350027
Family Medicine in Lake Wales, FL

Q: What is Lake Wales Clinic Corp's NPI number?

The NPI number for Lake Wales Clinic Corp is 1457350027. It was assigned to this organization in the NPPES registry on July 18, 2005.

Q: What is Lake Wales Clinic Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 18, 2005

410 S 11TH ST, LAKE WALES, FL 33853(863) 676-1433 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2019, Jun 12, 2019 (2 updates tracked since 2019).

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About Lake Wales Clinic Corp NPPES

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

LAKE WALES CLINIC CORP (NPI 1457350027) is a healthcare organization registered as a family medicine in Lake Wales, Florida and active in the NPI registry since July 2005. The organization lists James P Wright, Vp Physician Business Services, as its authorized official.

NPPES Registry Identity

NPI1457350027

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLAKE WALES CLINIC CORP

Location Address410 S 11TH STLake Wales, FL 33853-4203

Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 778-8196 · Fax (615) 628-6877

Phone(863) 676-1433

Organization SubpartYes

Authorized OfficialJames P WrightVp Physician Business Services · (615) 778-1502

Enumeration DateJuly 18, 2005

Last NPPES UpdateJuly 22, 20192 updates tracked since enumeration

✔ NPI 1457350027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X

Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X

Also ListedSurgeryTaxonomy 208600000X

410 S 11TH ST, Lake Wales, FL 33853

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Other Identifiers 2

Medicaid26904200FL

Other74943FL · Bcbs

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 20

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

MR. MATT MORAES AA

Anesthesiologist Assistant