LAKELAND REGIONAL HEALTH SYSTEMS, INC. (NPI# 1609280635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609280635 |
| Entity Type | Organization |
| Organization Name | LAKELAND REGIONAL HEALTH SYSTEMS, INC. |
| Other Organization Name | HOLLIS CANCER CENTER CAMPUS |
| Practice Address |
3525 Lakeland Hills Blvd Lakeland FL 33805-1965 |
| Mailing Address |
1324 Lakeland Hills Blvd Lakeland FL 33805-4543 |
| Practice Telephone | 8636036565 |
| Practice Fax Number | 8639041961 |
| Mailing Telephone | 8636871100 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | LANCE GREEN (CFO) |
| Authorized Official Telephone | 8636871100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hollis Cancer Center Campus | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114393469 | Lakeland Regional Health Systems, Inc. | General Practice | 811 S Lakeside Ave, Lakeland, FL 33815-4771 | 2015-08-20 |
| 1184820037 | Lakeland Regional Health Systems, Inc. | Internal Medicine | 320 Parkviewpl, Lakeland, FL 33805 | 2007-06-26 |
| 1083095129 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 208 Main St, Auburndale, FL 33823-3404 | 2015-06-15 |
| 1508258906 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 3015 Lakeland Highlands Rd, Lakeland, FL 33803-4339 | 2015-02-23 |
| 1619381803 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4700 Research Way, Lakeland, FL 33805-8531 | 2014-06-16 |
| 1063858538 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2013-05-10 |
| 1053757526 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 430 E Central Ave, Winter Haven, FL 33880-3050 | 2013-05-10 |
| 1831534312 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2013-05-09 |
| 1902241482 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2013-05-09 |
| 1669817144 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2013-05-09 |
| Street Address |
3525 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-1965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668156 | Sami K Baddoura | Internal Medicine | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2005-06-10 |
| 1851833271 | Zachary Thomas Hertzel | Physician Assistant | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2016-11-16 |
| 1598124984 | Catherine Vargas | Nurse Practitioner | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2016-02-15 |
| 1053748202 | Amy R Anderson | Nurse Practitioner | 3525 Lakeland Hills Blvd, Lakeland Regional Cancer Center, Lakeland, FL 33805 | 2013-10-02 |
| 1083998926 | Jennifer J Hughes | Physician Assistant | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2011-10-10 |
| 1366740581 | Susan Woodward | Nurse Practitioner | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-3013 | 2011-03-11 |
| 1801115241 | Vanessa L Prowler | Surgery | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2010-05-25 |
| 1649451568 | Kris M. Guerrier | Radiology | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2007-11-20 |
| 1871787036 | Sushma Simha Nakka | Internal Medicine | 3525 Lakeland Hills Blvd, Lakeland Regional Cancer Center, Lakeland, FL 33805-1965 | 2007-08-30 |
| 1407055973 | Dipali Trivedi | Internal Medicine | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2007-07-16 |
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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 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409598 | Ethos Health Lakeland, LLC | Clinic/Center | 625 Commerce Dr Ste 104, Lakeland, FL 33813-2733 | 2018-05-31 |
| 1053943787 | Bond Clinic Pa | Clinic/Center | 2039 E Edgewood Dr, Lakeland, FL 33803-3601 | 2020-02-11 |
| 1396217089 | Draughn Butler LLC | Clinic/Center | 2033 E Edgewood Dr Ste 4, Lakeland, FL 33803-3660 | 2018-12-19 |
| 1508258906 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 3015 Lakeland Highlands Rd, Lakeland, FL 33803-4339 | 2015-02-23 |
| 1619381803 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4700 Research Way, Lakeland, FL 33805-8531 | 2014-06-16 |
| 1487068672 | Lakeland Regional Health System, Inc. | Clinic/Center | 1324 Lakeland Hills Blvd, Pavillion - Obgyn, Lakeland, FL 33805-4543 | 2014-06-16 |
| 1063858538 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2013-05-10 |
| 1831534312 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2013-05-09 |
| 1902241482 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2013-05-09 |
| 1669817144 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2013-05-09 |
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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.