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Lake Wales Medical Walk in Clinic PA

Internal Medicine Physician in Lake Wales, FL · enumerated 2006 · authorized official Susan Allen, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336196278

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Wales Medical Walk in Clinic PA
Practice address 1611 State Road 60 E, Lake Wales, FL, 33853
Phone (863) 676-6007
Fax (863) 676-7659
Enumeration date May 27, 2006
Last updated in NPPES Feb 6, 2013

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License ME87271 (FL) Primary

Authorized official

Name Susan Allen
Title Office Manager
Phone (863) 676-6007

Other identifiers

Identifier Type State Issuer
265413000 Medicaid FL -
97246 Other FL BLUE CROSS BLUE SHEILD FL
159572100 Other - DEPARTMENT OF LABOR OWCP
000005600 Other - HUMANA
3499276 Other - AETNA HEALTH MGMT LLC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Lake Wales Medical Walk in Clinic PA located?
The practice location on file with NPPES is in Lake Wales, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-02-06. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-02-06.