THE TOWER RIDGE GROUP LLC
NPI 1093519829
Nurse Practitioner - Family in Lake Wales, FL

Active since April 02, 2025
158 S LAKE STARR BLVD, LAKE WALES, FL 33898(863) 855-0047(888) 504-1691 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Tower Ridge Group Llc NPPES

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

THE TOWER RIDGE GROUP LLC (NPI 1093519829) is a healthcare organization registered as a family in Lake Wales, Florida and active in the NPI registry since April 2025. The organization lists Donald Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1093519829
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHE TOWER RIDGE GROUP LLC
Location Address158 S LAKE STARR BLVDLake Wales, FL 33898-7661
Mailing Address23781 Us Highway 27 # 139Lake Wales, FL 33859-7802 · (863) 855-0047 · Fax (888) 504-1691
Fax(888) 504-1691
Organization SubpartNo
Authorized OfficialDonald JohnsonOwner · (863) 855-0047
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
NPI 1093519829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
158 S LAKE STARR BLVD, Lake Wales, FL 33898

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 SINGLE SPECIALTY GROUP

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 The Tower Ridge Group LLC's NPI number?

The NPI number for The Tower Ridge Group LLC is 1093519829. It was assigned to this organization in the NPPES registry on April 2, 2025.

Where is The Tower Ridge Group LLC located?

The Tower Ridge Group LLC is located at 158 S Lake Starr Blvd, Lake Wales, FL 33898. The listed phone number is (863) 855-0047.

What is The Tower Ridge Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for The Tower Ridge Group LLC was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.