Vbdc Of Lake Park Pllc

Specialty details in registry · Lake Park, FL

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At a glance

101 N Congress Ave, Lake Park, FL 33403-3804

NPPES record updated Dec 27, 2018. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

101 N Congress Ave
Lake Park, FL 33403-3804
Professional details: NPI, taxonomy & registry record
NPI1861964116
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223G0001X
Enumeration date
Dec 27, 2018
Record updated
Dec 27, 2018
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

101 N Congress Ave
Lake Park, FL 33403-3804
Phone
(478) 733-0857
Fax
(478) 254-5709
Mailing address
225 N MACON ST

MACON, GA 312106562
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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