LAKELAND REGIONAL HEALTH SYSTEMS INC NPI 1114593555

NPI Information

  • NPI: 1114593555
  • Provider Name: LAKELAND REGIONAL HEALTH SYSTEMS, INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Other Name: FAMILY HEALTH CENTER
  • Address: 300 PARKVIEW PL FL 33805
    LAKELAND, FL
    ZIP 33805
  • Phone: (863) 687-1300

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NPI Details

LAKELAND REGIONAL HEALTH SYSTEMS, INC is a general practice in Lakeland, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LAKELAND REGIONAL HEALTH SYSTEMS, INC NPI is 1114593555. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Family Health Center.

The provider's business location address is:

300 PARKVIEW PL FL 33805
LAKELAND, FL
ZIP 33805-550
Phone: (863) 687-1300
Fax: (863) 687-1305

The provider's authorized official is Lance Green .
The authorized official title is Evp/cfo and has the following contact phone number (863) 687-1100.

The enumeration date for this NPI number is 5/27/2021 and was last updated on 1/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1263421018MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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