Provider First Line Business Practice Location Address:
EMERGENCY DEPARTMENT, LAKE WALES MEDICAL CENTER
Provider Second Line Business Practice Location Address:
410 S 11TH STREET
Provider Business Practice Location Address City Name:
LAKE WALES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33853
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-679-6811
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/27/2006