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MULTI-SPECIALTY & PRIMARY CARE PRACTICE GROUP OF LAKE WALES LLC
NPI 1467605634
Specialist in Lake Wales, FL

Active since October 31, 2008
1255 STATE ROAD 60 EAST, LAKE WALES, FL 33853(863) 232-5111(866) 922-0875 Get Directions Write a Review

NPPES record last updated: April 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Multi-specialty & Primary Care Practice Group Of Lake Wales Llc NPPES

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

MULTI-SPECIALTY & PRIMARY CARE PRACTICE GROUP OF LAKE WALES LLC (NPI 1467605634) is a healthcare organization registered as a specialist in Lake Wales, Florida and active in the NPI registry since October 2008. The organization lists Kollagunta S Chandrasekhar, Owner, as its authorized official.

NPPES Registry Identity

NPI1467605634
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMULTI-SPECIALTY & PRIMARY CARE PRACTICE GROUP OF LAKE WALES LLC
Location Address1255 STATE ROAD 60 EASTLake Wales, FL 33853
Mailing Address1255 State Road 60 EastLake Wales, FL 33853 · (863) 232-5111 · Fax (866) 922-0875
Phone(863) 232-5111
Fax(866) 922-0875
Organization SubpartNo
Authorized OfficialKollagunta S ChandrasekharOwner · (863) 294-5505
Enumeration DateOctober 31, 2008
Last NPPES UpdateApril 8, 2009
✔ NPI 1467605634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1255 STATE ROAD 60 EAST, Lake Wales, FL 33853
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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

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

MEDICAL IMAGING EXPERTS OF CENTRAL FLORIDA, LLC
Specialist
1255 STATE ROAD 60 EAST
LAKE WALES, FL 33853
Polk County (863) 232-5111

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 Multi-Specialty & Primary Care Practice Group Of Lake Wales LLC's NPI number?

The NPI number for Multi-Specialty & Primary Care Practice Group Of Lake Wales LLC is 1467605634. It was assigned to this organization in the NPPES registry on October 31, 2008.

Where is Multi-Specialty & Primary Care Practice Group Of Lake Wales LLC located?

Multi-Specialty & Primary Care Practice Group Of Lake Wales LLC is located at 1255 State Road 60 East, Lake Wales, FL 33853. The listed phone number is (863) 232-5111.

What is Multi-Specialty & Primary Care Practice Group Of Lake Wales LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Multi-Specialty & Primary Care Practice Group Of Lake Wales LLC was last updated on April 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.