ProviderBusinessMailingAddressFaxNumber = '8635770299'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1528059060 | DIETRICH | LARRY | M. | | PO BOX 90609 | LAKELAND | FL | 338040609 |
| 1205827672 | ESPOSITO | MICHAEL | B. | | PO BOX 90609 | LAKELAND | FL | 338040609 |
| 1235110412 | FARGHER | JOHN | T. | | PO BOX 90609 | LAKELAND | FL | 338040609 |
| 1740271121 | FARGHER | SCOTT | A. | | 2120 LAKELAND HILLS BLVD | LAKELAND | FL | 338052906 |
| 1609867084 | GOODNIGHT | THOMAS | M. | | PO BOX 90609 | LAKELAND | FL | 338040609 |
| 1710968904 | HALL | DAVID | L. | | PO BOX 90609 | LAKELAND | FL | 338040609 |
| 1427039619 | HARRIAGE | ROBERT | R. | | PO BOX 90609 | LAKELAND | FL | 338040609 |
| 1538150933 | HENRICKS | BRET | D. | | 2125 CRYSTAL GROVE DR | LAKELAND | FL | 338016875 |
| 1437140951 | LIMA | MARTHA | | | PO BOX 90609 | LAKELAND | FL | 338040609 |
| 1407894587 | MOSKOVITZ | J. | DAVID | | PO BOX 90609 | LAKELAND | FL | 338040609 |
| 1457342727 | MYRICK | CHARLEY | T. | | 2125 CRYSTAL GROVE DR | LAKELAND | FL | 338016875 |
| 1831180124 | SCHMITT | CHRISTIAN | T. | | PO BOX 90609 | LAKELAND | FL | 338040609 |
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