LAKELAND PHYSICIANS & ASSOCIATES, LLC (NPI# 1427429281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427429281 |
| Entity Type | Organization |
| Organization Name | LAKELAND PHYSICIANS & ASSOCIATES, LLC |
| Practice Address |
1818 Harden Blvd Ste 120 Lakeland FL 33803-1812 |
| Mailing Address |
Po Box 470426 Lake Monroe FL 32747-0426 |
| Practice Telephone | 8632105640 |
| Practice Fax Number | 8632105716 |
| Mailing Telephone | 8632105640 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | JEAN THOMAS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8632105640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1818 HARDEN BLVD STE 120 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437360054 | Beth Ingram & Associates, Inc. | Developmental Therapist | 1818 Harden Blvd, Suite 160, Lakeland, FL 33803-1812 | 2007-05-25 |
| 1417366840 | Peoples Pharmacy Two, Inc. | Pharmacy | 1818 Harden Blvd, Suite 150, Lakeland, FL 33803-1812 | 2014-08-11 |
| 1689940934 | Kyle Merritt | Physician Assistant | 1818 Harden Blvd, Suite 120, Lakeland, FL 33803-1812 | 2012-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841718327 | Advantage Medical Group LLC | Clinic/Center | 2407 Us Highway 98 N, Lakeland, FL 33805-2410 | 2017-09-05 |
| 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 |
| 1023427853 | Makarios Group 3 LLC | Clinic/Center | 8950 Us Highway 64, Suite 109, Lakeland, TN 38002-4566 | 2014-08-06 |
| 1013321793 | Verimed Health Group Lakeland LLC | Clinic/Center | 1417 Lakeland Hills Blvd, Suite 204, Lakeland, FL 33805-3200 | 2014-06-20 |
| 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.