ANGEL EYES PRIMARY CARE LLC (NPI# 1588283022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588283022 |
| Entity Type | Organization |
| Organization Name | ANGEL EYES PRIMARY CARE LLC |
| Practice Address |
1500 Lakeland Hills Blvd Ste 2 Lakeland FL 33805-3257 |
| Mailing Address |
Po Box 971 Kathleen FL 33849-0971 |
| Practice Telephone | 8639446977 |
| Mailing Telephone | 8639446977 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | DR. ALICIA CLAIRCIUS (CEO) |
| Authorized Official Telephone | 8639446977 |
| Authorized Official Credential | DNP, FNP-C |
| 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 |
1500 LAKELAND HILLS BLVD STE 2 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-3257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154885804 | Alicia Claircius | Registered Nurse | 1500 Lakeland Hills Blvd Ste 2, Lakeland, FL 33805-3257 | 2019-01-28 |
| 1588215578 | Angel Eyes Home Care LLC | Home Health | 1500 Lakeland Hills Blvd Ste 2, Lakeland, FL 33805-3257 | 2019-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| 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 |
| 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 |
| 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.