Provider First Line Business Mailing Address:
1600 LAKELAND HILLS BLVD.
Provider Second Line Business Mailing Address:
ATTN: CREDENTIALING DEPARTMENT
Provider Business Mailing Address City Name:
LAKELAND
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33805-3019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
863-680-7000
Provider Business Mailing Address Fax Number:
866-264-8519