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

Multi-Specialty & Primary Care Practice Group of Lake Wales LLC

Organization Specialist · NPI 1467605634

Multi-Specialty & Primary Care Practice Group of Lake Wales 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

1255 State Road 60 E
Lake Wales, FL 33853 Not confirmed with CMS for 17 years — call before visiting
Phone: (863) 232-5111
Fax: (866) 922-0875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1467605634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kollagunta Chandrasekhar — Owner · (863) 294-5505
NPI enumeratedOctober 31, 2008
Last updated in NPPESApril 8, 2009
Mailing address1255 State Road 60 East, Lake Wales, FL 33853

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