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LAKELAND REGIONAL HEALTH SYSTEMS, INC.
NPI 1083095129
General Practice in Auburndale, FL

Active since June 15, 2015CLIA 10D2101199 · Waiver
208 MAIN ST, AUBURNDALE, FL 33823(863) 687-1100 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Dec 15, 2022, Jul 21, 2020 and 1 more (4 updates tracked since 2019).

About Lakeland Regional Health Systems, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKELAND REGIONAL HEALTH SYSTEMS, INC. (NPI 1083095129) is a healthcare organization registered as a general practice in Auburndale, Florida and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Lance Green, Vp / Cfo, as its authorized official.

NPPES Registry Identity

NPI1083095129
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLAKELAND REGIONAL HEALTH SYSTEMS, INC.
Location Address208 MAIN STAuburndale, FL 33823-3404
Mailing Address1324 Lakeland Hills Blvd, Managed Care DeptLakeland, FL 33805 · (863) 863-6871 · Fax (863) 630-6528
Phone(863) 687-1100
Organization SubpartNo
Authorized OfficialLance GreenVp / Cfo · (863) 687-1100
Enumeration DateJune 15, 2015
Last NPPES UpdateJanuary 4, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1083095129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedPhysician AssistantTaxonomy 363A00000X
208 MAIN ST, Auburndale, FL 33823
Open in Google Maps ↗

Other Identifiers 1

Medicaid263421014FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2101199

Lakeland Regional Health · Auburndale, FL
Active · expires Aug 27, 2027
CLIA Number10D2101199
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorBrian J. Yoder
Laboratory Phone(863) 687-1436
Laboratory LocationLakeland Regional Health208 Main St, Auburndale, FL 33823
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

POLIZZI ADVANCE FOOT CARE PA
Podiatrist (Foot & Ankle Surgery)
208 MAIN ST
AUBURNDALE, FL 33823
Polk County (863) 422-2356
DAVID I CROTEAU
Family Medicine
208 MAIN ST
AUBURNDALE, FL 33823
Polk County (863) 284-3930
CELESTINO VEGA MD
Family Medicine
208 MAIN ST
AUBURNDALE, FL 33823
Polk County (863) 284-5000
ANGELA M. AUSTIN-LEYVA PA-C
Physician Assistant
208 MAIN ST
AUBURNDALE, FL 33823
Polk County (863) 284-1611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeland Regional Health Systems, Inc.'s NPI number?

The NPI number for Lakeland Regional Health Systems, Inc. is 1083095129. It was assigned to this organization in the NPPES registry on June 15, 2015.

Where is Lakeland Regional Health Systems, Inc. located?

Lakeland Regional Health Systems, Inc. is located at 208 Main St, Auburndale, FL 33823. The listed phone number is (863) 687-1100.

What is Lakeland Regional Health Systems, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Lakeland Regional Health Systems, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2101199) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeland Regional Health Systems, Inc. was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.