Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lake Wales Primary Care Center, LLC

Organization Specialist · NPI 1750543344

Lake Wales Primary Care Center, LLC provides Specialist services in Lake Wales, Florida. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1120 Carlton Ave Ste 2300
Lake Wales, FL 33853-4348 Not confirmed with CMS for 17 years — call before visiting
Phone: (727) 251-1366
Fax: (813) 968-5306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1750543344
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedical Care Centers
Authorized official Namrata Amin — Chief Operating Officer · (727) 251-1366
NPI enumeratedJune 26, 2008
Last updated in NPPESApril 27, 2009
Mailing address6916 W Linebaugh Ave, Suite 101, Tampa, FL 33625-5815

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