ProviderBusinessMailingAddressFaxNumber = '8662642519'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1245277649 | LAZO DE LA VEGA | VITO | A | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1023081239 | MELANIO | JULIENNE | YUCHAN | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1386890572 | MOORE | RICHARD | L | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1467423673 | PATEL | PRANAY | C | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1497214613 | PETERSON | AMBER | NICOLE | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1760429062 | RIVERA | JOFFRE | | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1053463687 | SHISTIK | GALINA | | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1154392603 | SKERBETZ | CHRISTINE | ELISSA | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1932173002 | SWENGROS | STEPHEN | GLENN | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1497705727 | SWIERZEWSKI | MARK | JOSEPH | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1588636393 | TAVARES | AGUSTIN | R | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1467611210 | TRIVEDI | YOGI | | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1477554822 | TYREE | STEVEN | A. | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
| 1619940053 | VOLPE | MARC | ANTHONY | | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 338053019 |
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