DR. HOLLY CUNNEEN (NPI# 1760879464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760879464 |
| Entity Type | Individual |
| Full Name | DR. HOLLY CUNNEEN |
| Credential | D.O. |
| Practice Address |
2300 E County Road 540a Lakeland FL 33813-3825 |
| Mailing Address |
1600 Lakeland Hills Blvd Lakeland FL 33805-3065 |
| Practice Telephone | 8636478012 |
| Practice Fax Number | 8662648519 |
| Mailing Telephone | 8636807000 |
| Mailing Fax Number | 8662648519 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | OS15604 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16301 Fishhawk Blvd Ste 101, Lithia, FL 33547 | 8136813800 | |
| 325 N State of Franklin Rd, Johnson City, TN 376046056 | 4234397320 | 4234397343 |
| Street Address |
2300 E COUNTY ROAD 540A |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891786075 | Steven Andrew Barna | Anesthesiology | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2005-11-04 |
| 1649836180 | Adam Fagan | Physical Therapist | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2019-05-09 |
| 1144786187 | Brooke Lindsey Bambridge | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2019-02-14 |
| 1023572757 | Stephen Lagor | Physical Therapist | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2019-01-28 |
| 1679061691 | Amanda Avery Lewis | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2018-04-25 |
| 1386169357 | Holly Christine Payne | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2017-08-10 |
| 1881127355 | Olga Maria Medina | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2017-04-11 |
| 1821531583 | Brooke Livingston | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2016-11-29 |
| 1467906628 | Michael Ryan Ward | Physical Therapist | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2016-08-05 |
| 1720467657 | Italia Ramona Stuart | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2015-05-26 |
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| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134490204 | Theresa Lynn Felten | Pediatrics | 223 Lake Gibson Ln, Lakeland, FL 33809-3545 | 2012-01-22 |
| 1336469931 | Cara Marjorie Anne Cannon | Pediatrics | 5950 South Florida Ave., Lakeland, FL 33813-2532 | 2010-06-04 |
| 1134446107 | Urquiza Pediatrics | Pediatrics | 1545 Lakeland Hills Blvd, Lakeland, FL 33805-3246 | 2010-04-29 |
| 1235385287 | Mark Friberg | Pediatrics | 430 E Central Avenue, Lakeland, FL 33805 | 2008-08-11 |
| 1467521161 | Deborah Kathleen Ford | Pediatrics | 5705 Us Highway 98 S, Lakeland, FL 33812-4108 | 2006-11-07 |
| 1356351019 | Hugh W Johnson | Pediatrics | 2515 Troy Ave, Bay Area Primary Care Assoc Inc, Lakeland, FL 33803-2960 | 2006-08-08 |
| 1518973973 | Lakeside Pediatrics North | Pediatrics | 2929 Lakeland Hills Blvd, Lakeland, FL 33805-2223 | 2006-07-31 |
| 1477519155 | Daniel L Leviten | Pediatrics | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2006-04-22 |
| 1558335760 | Dorothy Joan Ray | Pediatrics | 2140 E Edgewood Dr, Lakeland, FL 33803-3604 | 2006-02-14 |
| 1114907417 | Karen Beth Schick | Pediatrics | 601 S Florida Ave, Suite 6, Lakeland, FL 33801-5237 | 2006-01-20 |
| 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.