Lakeland Physicians Group Llc
LBN: Lakeland Physicians Group Llc
Lakeland Physicians Group Llc is an health care organization with primary practice located at 3604 Harden Blvd , Lakeland FL 33803-5938. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Lakeland Physicians Group Llc can be contacted via phone (863) 648-4275, or through Nimbargi, Stephen P via phone (407) 782-3702.
Contact Information
Primary practice address
3604 Harden Blvd
Lakeland FL 33803-5938
Phone: (863) 648-4275
Fax: (863) 648-9520
Website:
Authorized official contact:
Name: Nimbargi, Stephen P Doctor of Medicine (MD)
Phone: (407) 782-3702
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME85807 | Florida |
| Other Service Providers / Specialist | 174400000X | ME92618 | Florida |
Profile Details
| NPI number | 1174564553 |
|---|---|
| LBN Legal business name | Lakeland Physicians Group Llc |
| DBA Doing business as | |
| Authorized official | Nimbargi, Stephen P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Sep 25th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174564553 | NPPES |
| Florida | Other | 5324701 | AETNA |
| Florida | Other | 113345 | AETNA |
| Florida | MEDICAID | 275444400 | AETNA |
| Florida | Other | DG9369 | AETNA |
| Florida | MEDICAID | 265742201 | AETNA |
| Florida | Other | 72117 | AETNA |
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