KELLY A. PONCHERI DPM PA
Medical Practice at Exploration Ave, Lakeland, FL

License number
Florida PO 3478
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: KELLY PONCHERI DPM
Title: OWNER
Phone: (239) 278-1155
Address
Address
4692 Exploration Ave, Lakeland, FL 33812
National Provider ID: 1619269362
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Kelly A. Poncheri, D.P.M., PA

Lakeland, FL

Industry:
Noncommercial Research Organization, Nonclassifiable Establishments
Registration:
May 2, 2011
Addresses:
4692 Exploration Ave, Lakeland, FL 33812
4712 Exploration Ave, Lakeland, FL 33812
State ID:
P11000042279
Business type:
Domestic for Profit Corporation
Owner, Podiatrist, Principal, Director:
Kelly A. Poncheri (Owner, Podiatrist, Principal, Director)
Agent:
Andrew M. Reed

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