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NICHOLAS GRESBACH
NPI 1134584386
Student in an Organized Health Care Education/Training Program in Lakeland, FL

Active since December 15, 2015
111 LAKE HOLLINGSWORTH DR, LAKELAND, FL 33801(352) 497-3473 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Gresbach NPPES

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

NICHOLAS GRESBACH (NPI 1134584386) is an individual student in an organized health care education/training program in Lakeland, Florida and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1134584386
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS GRESBACH
Location Address111 LAKE HOLLINGSWORTH DRLakeland, FL 33801-5607
Mailing Address111 Lake Hollingsworth DrLakeland, FL 33801-5607 · (352) 497-3473
Phone(352) 497-3473
Sole ProprietorNo
Enumeration DateDecember 15, 2015
✔ NPI 1134584386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 LAKE HOLLINGSWORTH DR, Lakeland, FL 33801
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Other Providers at the Same Location NPPES 15

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

TONI CECIL MAT, LAT, ATC
Physical Medicine & Rehabilitation (Sports Medicine)
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (863) 680-4267
MAXON SLOANE BLOW LAT, ATC, CES
Specialist/Technologist (Athletic Trainer)
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (863) 680-4267
DR. WILLIAM RAYMOND VANWYE PT
Physical Therapist
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (863) 680-4718
ALEXANDER ORR I
Student in an Organized Health Care Education/Training Program
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (954) 665-7585
SCOTT MICHAEL HECKMAN
Student in an Organized Health Care Education/Training Program
111 LAKE HOLLINGSWORTH DR, BOX #4655
LAKELAND, FL 33801
Polk County (779) 225-9454
LOGAN ASH
Student in an Organized Health Care Education/Training Program
111 LAKE HOLLINGSWORTH DR, BOX #4036
LAKELAND, FL 33801
Polk County (863) 680-4267
STEPHANIE KAY GONZALEZ FNP-BC
Nurse Practitioner (Family)
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (863) 687-1376
SUE ANN STANLEY-GREEN ATC
Specialist
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (864) 680-4262

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 Nicholas Gresbach's NPI number?

The NPI number for Nicholas Gresbach is 1134584386. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Where is Nicholas Gresbach located?

Nicholas Gresbach practices at 111 Lake Hollingsworth Dr, Lakeland, FL 33801. The listed phone number is (352) 497-3473.

What is Nicholas Gresbach's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicholas Gresbach was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.