JOGI WALK-IN CLINIC INC (NPI# 1629027008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629027008 |
| Entity Type | Organization |
| Organization Name | JOGI WALK-IN CLINIC INC |
| Practice Address |
1500 Lakeland Hills Blvd Suite #3 Lakeland FL 33805-3257 |
| Practice Telephone | 8636828200 |
| Practice Fax Number | 8636874161 |
| Mailing Telephone | 8636828200 |
| Mailing Fax Number | 8636874161 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-01-21 |
| Authorized Official Name | SUGUNA KUMARI MANGILIPUDI (OWNER) |
| Authorized Official Telephone | 8636828200 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1500 LAKELAND HILLS BLVD SUITE #3 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-3257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669465969 | Srinivas P Samak | Internal Medicine | 1500 Lakeland Hills Blvd, Ste 4, Lakeland, FL 33805-3257 | 2005-08-23 |
| 1992068902 | Jose Acuna Md, P.a. | Internal Medicine | 1500 Lakeland Hills Blvd, Suite 3, Lakeland, FL 33805-3257 | 2012-06-25 |
| 1720384357 | Jerome Dharmauir Noronha | Nurse Practitioner | 1500 Lakeland Hills Blvd, Suite 2, Lakeland, FL 33805-3257 | 2011-01-29 |
| 1285947515 | Amir Ahmad, Md Pa | Internal Medicine | 1500 Lakeland Hills Blvd, Ste 7, Lakeland, FL 33805-3257 | 2010-07-15 |
| 1023334091 | Rifat Sarwar Md Pa | Specialist | 1500 Lakeland Hills Blvd, Ste 1, Lakeland, FL 33805-3257 | 2010-04-14 |
| 1265613509 | Srinivas Samak Md.pa | Internal Medicine | 1500 Lakeland Hills Blvd, #4, Lakeland, FL 33805-3257 | 2007-11-15 |
| 1972646859 | Amir Ahmad | Internal Medicine | 1500 Lakeland Hills Blvd, Lakeland, FL 33805-3257 | 2007-02-14 |
| 1326063041 | Vijayalakshmi Rajendran | General Practice | 1500 Lakeland Hills Blvd, Suite #2, Lakeland, FL 33805-3257 | 2006-07-13 |
| 1881637262 | Virgilio S Cabigas | Internal Medicine | 1500 Lakeland Hills Blvd, Ste 3, Lakeland, FL 33805 | 2006-06-14 |
| 1164461380 | Kapila Manu Patel | Specialist | 1500 Lakeland Hills Blvd, Suite #6, Lakeland, FL 33805-3257 | 2006-06-05 |
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| 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 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517840 | Kecia Howell | General Practice | 7433 Us Highway 98 N, Lakeland, FL 33809-2140 | 2020-04-20 |
| 1114393469 | Lakeland Regional Health Systems, Inc. | General Practice | 811 S Lakeside Ave, Lakeland, FL 33815-4771 | 2015-08-20 |
| 1700213972 | Wendell O Blake Md Pa | General Practice | 505 Martin Luther King Jr Avenue, Suite 2, Lakeland, FL 33815-1527 | 2013-10-03 |
| 1649572249 | Lysmar Carrion Dinguis | General Practice | 4725 Us Highway 98 S Ste 101, Lakeland, FL 33812-4334 | 2010-12-02 |
| 1891945580 | Luis J. Velazquez Vicente | General Practice | 4120 Us Highway 98 N, Suite 200, Lakeland, FL 33809-3854 | 2008-09-30 |
| 1225227051 | Lenny Tua Mendez | General Practice | 4725 Us Highway 98 S Ste 102, Lakeland, FL 33812-4334 | 2007-10-17 |
| 1841344454 | Evans Salomon Mercier | General Practice | 5020 Williamstown Blvd, Lakeland, FL 33810-3707 | 2007-01-22 |
| 1174690358 | Prudencio P Aqui | General Practice | 2133 S Combee Rd, Sterling Square, Lakeland, FL 33801 | 2006-11-30 |
| 1225134745 | Esther Echevarria | General Practice | 3810 S Florida Ave, Lakeland, FL 33813-1105 | 2006-09-15 |
| 1164539870 | Luis Garcia Rivera | General Practice | 5425 S Florida Ave, Lakeland, FL 33813 | 2006-08-25 |
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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.