CAPERNAUM MEDICAL CENTER

NPI: 1134675317 · Organization · Active

Primary Specialty

Clinical Neurophysiology Physician
Psychiatry & Neurology — Clinical Neurophysiology

Practice Location

5129 S LAKELAND DR
UNIT 1 AND 2
LAKELAND, FL 33813-2598 Map ↗
Phone: 212-361-9408

Mailing Address

PO BOX 95448
LAKELAND, FL 33804-5448 Map ↗
Phone: 212-361-9408

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Clinical Neurophysiology Physician Primary — Clinical Neurophysiology
  • Pediatric Nephrology Physician — Pediatric Nephrology

NPI Registration

Enumerated: 2016-08-29

Last CMS Update: 2016-08-29