Lake Miriam Campus
LBN: Lakeland Regional Health Systems, Inc.
Lake Miriam Campus is an health care organization with primary practice located at 4710 S Florida Ave , Lakeland FL 33813-2165. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Lakeland Regional Health Systems, Inc. can be contacted via phone (863) 284-6800, or through Green, Lance via phone (863) 687-1100.
Contact Information
Primary practice address
4710 S Florida Ave
Lakeland FL 33813-2165
Phone: (863) 284-6800
Fax: (863) 284-6807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | Florida | |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1063858538 |
|---|---|
| LBN Legal business name | Lakeland Regional Health Systems, Inc. |
| DBA Doing business as | Lake Miriam Campus |
| Authorized official | Green, Lance |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2013 |
| Last updated | Jan 24th, 2023 - about last year |
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 | 1063858538 | NPPES |
| Florida | MEDICAID | 263421005 |
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