Lake Wales Clinic Corp is a Neurology Clinic in Lake Wales, Florida. This organization is also known as sub part of Lake Wales Clinic Corp. It is located at 410 S 11th St, Lake Wales, FL and its contact number is 863-676-1433. The authorized person for Lake Wales Clinic Corp is James P Wright
who is Vp Physician Business Services of the clinic and his/her contact number is 615-778-1502.
Lake Wales Clinic Corp Clinic has licensed physician, who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Complete Clinic Profile:
Lake Wales Clinic Corp Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lake Wales Clinic Corp |
| Specialization: | Neurology |
| Clinic Address: | 410 S 11th St, Lake Wales,
Florida, 33853-4203 |
| Phone: | 863-676-1433 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | James P Wright |
| Position: | Vp Physician Business Services |
| Contact Number: | 615-778-1502 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lake Wales Clinic Corp clinic are as mentioned below.
| NPI Number: | 1457350027 |
| Parent Organization: | Lake Wales Clinic Corp |
| NPI Enumeration Date: | 18 Jul, 2005 |
| NPI Last Update On: | 22 Jul, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Wales Clinic Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | | Primary | |
| Surgery | | | Secondary | |
| Internal Medicine | | | Secondary | |
| Gastroenterology | | | Secondary | |
| Orthopaedic Surgery | | | Secondary | |
| Pediatrics | | | Secondary | |
| Clinical Neurophysiology | | | Secondary | |
| Sleep Medicine | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 26904200 | Medicaid | Florida | |
| 74943 | Other | Florida | Bcbs |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lake Wales Clinic Corp
Po Box 689022,
Franklin, Tennessee |
| Zip: | 37068-9022 |
| Phone Number: | 615-778-8196 |
Patients can reach Lake Wales Clinic Corp at
410 S 11th St, Lake Wales, Florida or can
call to book an appointment on 863-676-1433.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.