NORTH LAKELAND PAIN & TRAUMA INC (NPI# 1962556878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962556878 |
| Entity Type | Organization |
| Organization Name | NORTH LAKELAND PAIN & TRAUMA INC |
| Practice Address |
5516 Us 98 North Lakeland FL 33809 |
| Mailing Address |
5516 Us 98 North Lakeland FL 33809-3101 |
| Practice Telephone | 8638583993 |
| Practice Fax Number | 8638587398 |
| Mailing Telephone | 8638583993 |
| Mailing Fax Number | 8638587398 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | GLORIA G PETRONE (CEO) |
| Authorized Official Telephone | 8638583993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0070584 | FL | Other Service Providers |
| Street Address |
5516 US 98 NORTH |
| City | LAKELAND |
| State | FL |
| Zip Code | 33809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018178 | John C Gallik | Military Health Care Provider | 3176 Corporal Johnson Road, Jbsa Fort Sam Houston, TX 33809 | 2020-06-23 |
| 1376189209 | Julie Independence Tomchak | Nurse's Aide | 7805 Us Highway Lot 29 # 98 N, Lakeland, FL 33809 | 2019-11-26 |
| 1912465923 | Lakeland Oaks Nh LLC | Skilled Nursing Facility | 855 Carpenters Way, Lakeland, FL 33809 | 2019-03-08 |
| 1235528753 | Christia Mccann | Physician Assistant | 4120 Us Hwy. 98 N., One Lakeland Square, Lakeland, FL 33809 | 2015-01-21 |
| 1548679616 | Ashley Frances Hamarowicz | Physical Therapist | 771 Carpenters Way, Lakeland, FL 33809 | 2014-08-04 |
| 1750700860 | Grace Manor Suites | Assisted Living Facility | 4620 N Socrum Loop Road, Lakeland, FL 33809 | 2014-04-16 |
| 1164769980 | Christopher Fisher | Hearing Instrument Specialist | 3800 North Rd 98, Ste 500, Lakeland, FL 33809 | 2013-01-14 |
| 1023374063 | Eagle Lake Pharmacy Inc | Pharmacy | 5245 A U S Hwy 98 N, Suite A, Lakeland, FL 33809 | 2012-04-04 |
| 1851669675 | Reginald Keith Jenkins | Pharmacist | 1043 Walt Williams Road, Lakeland, FL 33809 | 2011-12-07 |
| 1578859633 | Jill Margaret Waldrop | Pharmacist | 6600 N. Socrum Loop, Lakeland, FL 33809 | 2011-06-27 |
| Find all providers in zip 33809 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1962867838 | Amanda Bennett | Specialist | 705 Central Parke Cir Apt 208, Lakeland, FL 33805-9590 | 2015-12-21 |
| 1730512252 | Tampa Obstetrics, P.a. | Specialist | 1525 Lakeland Hills Blvd, Lakeland, FL 33805-3203 | 2013-08-20 |
| 1720323512 | Select Physical Therapy | Specialist | 3317 Us Highway 98 S Ste 6, Lakeland, FL 33803-8316 | 2012-12-05 |
| 1871865980 | William Riley Kendrick Jr. | Specialist | 3358 Bentbrooke Cv, Lakeland, TN 38002-5746 | 2012-02-04 |
| 1255654554 | Hai Yang | Specialist | 6838 Huntington Hills Blvd, Lakeland, FL 33810-5378 | 2010-03-01 |
| 1366688954 | Jeanne Martha Raschke | Specialist | 315 Faye Cir N, Lakeland, FL 33813-1512 | 2009-01-02 |
| 1245486869 | King Fernand | Specialist | 2240 Us Highway 92 E, Lakeland, FL 33801-2448 | 2008-08-14 |
| 1043480502 | American Care of Tampa Inc. | Specialist | 2600 Industrial Park Dr, Suite C, Lakeland, FL 33801-7135 | 2008-03-11 |
| 1568536126 | Timothy E Knight | Specialist | 6500 N Socrum Loop Rd, Suite 100, Lakeland, FL 33809-4308 | 2006-11-17 |
| 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.