LAKE WALE PEDIATRIC INTERNAL MEDICINE P.A. is a primary care clinic center in Lake Wales, FL. LAKE WALE PEDIATRIC INTERNAL MEDICINE P.A. NPI is 1831362805. The provider is registered as an organization entity type.
The provider's business location address is:
425 S 11TH ST
LAKE WALES, FL
ZIP 33853-239
Phone: (863) 676-8935
Fax: (863) 679-2691
The provider's authorized official is Oscar Amador Oropeza .
The authorized official title is Medical Doctor and has the following contact phone number (863) 676-8935.
The CLIA number assigned to this NPI record is 10D1084246 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/10/2008 and was last updated on 7/21/2022.