Mary E Powell
LAKE WALES CLINIC CORP


Address: 410 S 11th St, Lake Wales, FL 33853-4203
Phone: 8632327343

Mary E Powell (NPI# 1972668754, PAC ID# 2860488939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1972668754
PAC ID by PECOS 2860488939
Professional Enrollment ID I20040423000185
Full Name Mary E Powell
Organization Legal Name LAKE WALES CLINIC CORP
Address 410 S 11th St
Lake Wales
FL 33853-4203
Phone Number 8632327343
Gender F
Credential NP
Graduation Year 1987
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1153304639
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100099 LAKE WALES MEDICAL CENTER

Other Locations

Address Phone Organization
1120 Carlton Ave, Lake Wales, FL 33853-4347 LAKE WALES CLINIC CORP
410 S 11th St, Lake Wales, FL 33853-4203 8632327343 LAKE WALES CLINIC CORP

Organization Information

Organization Legal Name LAKE WALES CLINIC CORP
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Shena R Ranon Nurse Practitioner Lake Wales Clinic Corp 1255 State Rd 60, Lake Wales, FL 33853-4342
Jamie P Moore Registered Dietitian Or Nutrition Professional Lake Wales Clinic Corp 410 S 11th St, Lake Wales, FL 33853-4203

Office Location

Street Address 410 S 11TH ST
City LAKE WALES
State FL
Zip 33853-4203

Physicians in the same location

Name Specialty Organization Address
Michael F Cunningham Emergency Medicine Lake Wales Emergency Physicians, LLC 410 S 11th St, Lake Wales, FL 33853-4209
Wenjun W Scott Anesthesiology Assistant North Tampa Anesthesia Consultants 410 S 11th St, Lake Wales, FL 33853-4203
Nageswararao V Kanumuri Anesthesiology North Tampa Anesthesia Consultants 410 S 11th St, Lake Wales, FL 33853-4203
Panchami Thomas Nurse Practitioner Florida Hospital Medical Group Inc 410 S 11th St, Lake Wales, FL 33853-4203
Ravi Bakhsh Masih Emergency Medicine Lake Wales Emergency Physicians, LLC 410 S 11th St, Lake Wales, FL 33853-4209
Prabin C Thakuri Anesthesiology Assistant North Tampa Anesthesia Consultants 410 S 11th St, Lake Wales, FL 33853-4203
Tolulope Mathias Olasunkanmi Hospitalist Lake Wales Physician Services, LLC 410 S 11th St, Lake Wales, FL 33853-4203
Arturo R Hernandez Pena Psychiatry Florida Hospital Medical Group Inc 410 S 11th St, Lake Wales, FL 33853-4203
David L Holmes Family Medicine 410 S 11th St, Lake Wales, FL 33853-4203
Ramon Echague Colman Pulmonary Disease Lake Wales Emergency Physicians, LLC 410 S 11th St, Lake Wales, FL 33853-4209
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Georgianna W Sorensen Nurse Practitioner 237 E Park Ave, Lake Wales, FL 33853-3705
Boris D Nunez Cardiovascular Disease (cardiology) 320 Sr 60, Lake Wales, FL 33853-3750
Gilberto A Lozano Internal Medicine 320 State Rd 60, Suite 301, Lake Wales, FL 33853-3750
Dominiqua Lint Nurse Practitioner Central Florida Health Care Inc 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015
Beatrice Aime Celian General Practice Central Florida Health Care Inc 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015
Tiffany L Garner Nurse Practitioner Central Florida Health Care Inc 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015
Robert D Bazley Obstetrics/gynecology Florida Department of Health 835 W Central Ave, Lake Wales, FL 33853-4024
Leonilo V Trono Physical Therapy Core Rehabilitation Inc 61 W Central Ave, Lake Wales, FL 33853-4113
Kenneth Neigut Diagnostic Radiology Central Florida Cancer Institute Pa 22 State Rd 60, Lake Wales, FL 33853-4118
Bade Akintan Urology Central Florida Cancer Institute Pa 22 State Rd 60, Lake Wales, FL 33853-4118
Find all physicians in zip 33853

Competitor

Search similar physicians

City LAKE WALES
Zip Code 33853
Specialty NURSE PRACTITIONER
City + Specialty LAKE WALES + NURSE PRACTITIONER

Improve Information

Please comment or provide details below to improve the information on Mary E Powell.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Trending Searches