LAKELAND PHYSICIANS GROUP LLC NPI 1174564553

NPI Information

  • NPI: 1174564553
  • Provider Name: LAKELAND PHYSICIANS GROUP LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 517 BUENA VISTA ST.
    LAKELAND, FL
    ZIP 33805
  • Phone: (863) 688-3674

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NPI Details

LAKELAND PHYSICIANS GROUP LLC is a family medicine in Lakeland, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LAKELAND PHYSICIANS GROUP LLC NPI is 1174564553. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

517 BUENA VISTA ST.
LAKELAND, FL
ZIP 33805
Phone: (863) 688-3674
Fax: (863) 616-9902

The provider's authorized official is Stephen Philip Nimbargi .
The authorized official title is Owner and has the following contact phone number (407) 782-3702.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 12/3/2024.

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
1174400000XSpecialistME85807FLORIDANo
2174400000XSpecialistME92618FLORIDANo
3207Q00000XFamily MedicineYes
4207R00000XInternal MedicineNo

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
1275444400MEDICAIDFLORIDA
272117OTHERFLORIDABCBS
3DG9369OTHERFLORIDARAILROAD MEDICARE
4113345OTHERFLORIDAAMERIGROUP
5265742201MEDICAIDFLORIDA
65324701OTHERFLORIDAAETNA

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: 11/21/2025

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