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LAKE WALES PRIMARY CARE CENTER, LLC
NPI 1750543344
Specialist in Lake Wales, FL

Active since June 26, 2008
1120 CARLTON AVE, SUITE 2300, LAKE WALES, FL 33853(727) 251-1366(813) 968-5306 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Wales Primary Care Center, Llc NPPES

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

LAKE WALES PRIMARY CARE CENTER, LLC (NPI 1750543344) is a healthcare organization registered as a specialist in Lake Wales, Florida and active in the NPI registry since June 2008. The organization lists Namrata A. Amin, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1750543344
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKE WALES PRIMARY CARE CENTER, LLC
Location Address1120 CARLTON AVE, SUITE 2300Lake Wales, FL 33853-4348
Mailing Address6916 W Linebaugh Ave, Suite 101Tampa, FL 33625-5815 · (727) 251-1366 · Fax (813) 968-5306
Phone(727) 251-1366
Fax(813) 968-5306
Organization SubpartYesParent: Medical Care Centers
Authorized OfficialNamrata A. AminChief Operating Officer · (727) 251-1366
Enumeration DateJune 26, 2008
Last NPPES UpdateApril 27, 2009
✔ NPI 1750543344 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.
1120 CARLTON AVE, Lake Wales, FL 33853
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MILCAH GRACE S CACULITAN FNP
Nurse Practitioner (Family)
1120 CARLTON AVE, SUITE 1300
LAKE WALES, FL 33853
Polk County (863) 676-6386
BRAIN SPINE AND SLEEP INSTITUTE LLC
Psychiatry & Neurology (Neurology)
1120 CARLTON AVE, SUITE 1300
LAKE WALES, FL 33853
Polk County (863) 676-6386
DR. NYDIA GRICELLE DELTORO RIVERA MD, WCC. DWC, CWS
General Practice
1120 CARLTON AVE
LAKE WALES, FL 33853
Polk County (863) 270-4546
EVELINA FIGUEROA NATER APRN
Nurse Practitioner (Family)
1120 CARLTON AVE
LAKE WALES, FL 33853
Polk County (863) 270-4546
HASAN M. MOUSLI MD
Psychiatry & Neurology (Neurology)
1120 CARLTON AVE, SUITE 1300
LAKE WALES, FL 33853
Polk County (863) 676-6386

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 Primary Care Center, LLC's NPI number?

The NPI number for Lake Wales Primary Care Center, LLC is 1750543344. It was assigned to this organization in the NPPES registry on June 26, 2008.

Where is Lake Wales Primary Care Center, LLC located?

Lake Wales Primary Care Center, LLC is located at 1120 Carlton Ave Suite 2300, Lake Wales, FL 33853. The listed phone number is (727) 251-1366.

What is Lake Wales Primary Care Center, 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 Lake Wales Primary Care Center, LLC was last updated on April 27, 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.