ProviderBusinessMailingAddressFaxNumber = '8632682923'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1013300912
PHYSICIANS HOUSECALL TEAM, LLC
3616 HARDEN BLVD
LAKELAND
FL
338035938
1619007002
LORD
CORY
1225 HAVENDALE BLVD NW
WINTER HAVEN
FL
338811393
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