LAKELAND FL ENDOSCOPY ASC LLC (NPI# 1649244567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649244567 |
| Entity Type | Organization |
| Organization Name | LAKELAND FL ENDOSCOPY ASC LLC |
| Other Organization Name | SURGERY CENTER OF LAKELAND HILLS BOULEVARD |
| Practice Address |
3340 Lakeland Hills Blvd Lakeland FL 33805-1974 |
| Practice Telephone | 8636823239 |
| Practice Fax Number | 8636823462 |
| Mailing Telephone | 8636823239 |
| Mailing Fax Number | 8636823462 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2014-04-03 |
| Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1230 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00221727 | 01 |
| FL | 075976700 | 05 |
| Other Name | Type Code |
|---|---|
| Surgery Center of Lakeland Hills Boulevard | Doing Business As Name - Organization |
| Street Address |
3340 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993777 | Richard James Doviak II | Anesthesiology | 3340 Lakeland Hills Blvd, Lakeland, FL 33805-1974 | 2005-06-24 |
| 1205254372 | Casey Joan Woody | Anesthesiology | 3340 Lakeland Hills Blvd, Lakeland, FL 33805-1974 | 2014-04-04 |
| 1750586327 | Global Anesthesia Service LLC | Anesthesiology | 3340 Lakeland Hills Blvd, Lakeland, FL 33805-1974 | 2007-06-15 |
| 1972559847 | John Woody | Anesthesiology | 3340 Lakeland Hills Blvd, Lakeland, FL 33805-1974 | 2006-05-25 |
| 1063465524 | John D. Woody, Md, Pa | Anesthesiology | 3340 Lakeland Hills Blvd, Lakeland, FL 33805-1974 | 2006-05-18 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366994675 | Surgical Center of Central Florida, LLC | Clinic/Center | 3221 S Florida Ave Ste A, Lakeland, FL 33803-4550 | 2016-11-03 |
| 1780060103 | Vip Surgery Center-lakeland Inc | Clinic/Center | 3035 Lakeland Hills Blvd, Lakeland, FL 33805-2201 | 2015-08-07 |
| 1962552232 | Lakeland Surgical & Diagnostic Center LLP | Clinic/Center | 818 Griffin Rd, Lakeland, FL 33805-2440 | 2007-01-11 |
| 1952364002 | Surgicare of Central Florida Ltd | Clinic/Center | 900 Griffin Rd, Lakeland, FL 33805-2442 | 2006-04-10 |
| 1346244845 | Lakeland Surgical & Diagnostic Center LLP | Clinic/Center | 1315 N Florida Ave, Lakeland, FL 33805-4502 | 2005-06-13 |
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|---|---|---|---|---|
| 1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
| 1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
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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.