PREMIER WALK IN CLINIC & PRIMARY CARE LLC (NPI# 1033262019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033262019 |
| Entity Type | Organization |
| Organization Name | PREMIER WALK IN CLINIC & PRIMARY CARE LLC |
| Other Organization Name | PREMIER WALK IN CLINIC |
| Practice Address |
5676 S Florida Ave Lakeland FL 33813-2526 |
| Practice Telephone | 8636443400 |
| Practice Fax Number | 8636192400 |
| Mailing Telephone | 8636443400 |
| Mailing Fax Number | 8636192400 |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2014-10-16 |
| Authorized Official Name | DR. NARINDER S BRAR (OWNER) |
| Authorized Official Telephone | 8636443400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME65736 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE GROUP PTAN | K9032 | 01 |
| Other Name | Type Code |
|---|---|
| Premier Walk in Clinic | Doing Business As Name - Organization |
| Street Address |
5676 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582054 | Narinder S Brar | Internal Medicine | 5676 S Florida Ave, Lakeland, FL 33813-2526 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1760484745 | Lakeland Family Medicine | Clinic/Center | 1305 Lakeland Hills Blvd, Suite 101, Lakeland, FL 33805-4542 | 2005-08-10 |
| 1073135034 | Vema Holistic Health LLC | Clinic/Center | 162 W Main St, Lakeland, GA 31635-6865 | 2020-05-13 |
| 1588283022 | Angel Eyes Primary Care LLC | Clinic/Center | 1500 Lakeland Hills Blvd Ste 2, Lakeland, FL 33805-3257 | 2020-04-14 |
| 1316578834 | Miami Beach Medical Consultants, LLC. | Clinic/Center | 2417 Us Highway 98 N, Lakeland, FL 33805-2410 | 2020-02-03 |
| 1700417268 | Rodolfo Dumenigo Md Pa | Clinic/Center | 2417 Us Highway 98 N, Lakeland, FL 33805-2410 | 2020-02-03 |
| 1205362431 | Reliance Medical Centers | Clinic/Center | 3655 Innovation Dr, Lakeland, FL 33812-4106 | 2017-05-09 |
| 1356893226 | Mid South Med, LLC | Clinic/Center | 9160 Highway 64, Suite 5, Lakeland, TN 38002-4766 | 2016-10-26 |
| 1427429281 | Lakeland Physicians & Associates, LLC | Clinic/Center | 1818 Harden Blvd, Ste 120, Lakeland, FL 33803-1812 | 2015-10-19 |
| 1023427853 | Makarios Group 3 LLC | Clinic/Center | 8950 Us Highway 64, Suite 109, Lakeland, TN 38002-4566 | 2014-08-06 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.