NPI 1730611492

Prestige Community Clinic INC

Organisation Voluntary or Charitable Agency Lakeland, FL

Practice location

Address: 110 W 7th St, Lakeland, FL 33805-4813
Phone: (407) 535-3857
Fax: (239) 302-1344
Mailing address: 579 Finch CT, Kissimmee, FL 34759-4426

Authorised official

Name: Ann Violet Lockhart
Title: Chairman /Registered Agent
Phone: (407) 535-3857

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

Other Voluntary or Charitable providers in Florida →

Registry record

NPI: 1730611492
Entity type: Organization
NPI issued: 31 Mar 2017
Record last updated: 31 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.