| Peace River Center | |
|
715 N Lake Ave Lakeland FL 33801-1908 | |
| (863) 519-0575 | |
| (863) 582-9251 |
| Full Name | Peace River Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 715 N Lake Ave, Lakeland, Florida |
| Authorized Official Name and Position | Jo Deck (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8635190575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace River Center Po Box 1559 Bartow FL 33831-1559 Ph: (863) 519-0575 | Peace River Center 715 N Lake Ave Lakeland FL 33801-1908 Ph: (863) 519-0575 |
| NPI Number | 1235887126 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235887126 | NPI | - | NPPES |
| 060310435 | Medicaid | FL |
News Archive
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