LAKE WALES PHYSICIAN SERVICES, LLC
NPI 1164902797
Hospitalist in Lake Wales, FL

Active since August 14, 2018
410 S 11TH ST, LAKE WALES, FL 33853(863) 676-1433 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2021, Aug 14, 2018 (2 updates tracked since 2018).

About Lake Wales Physician Services, Llc NPPES

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

LAKE WALES PHYSICIAN SERVICES, LLC (NPI 1164902797) is a healthcare organization registered as a hospitalist in Lake Wales, Florida and active in the NPI registry since August 2018. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1164902797
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameLAKE WALES PHYSICIAN SERVICES, LLC
Location Address410 S 11TH STLake Wales, FL 33853-4203
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Organization SubpartNo
Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221
Enumeration DateAugust 14, 2018
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
NPI 1164902797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
410 S 11TH ST, Lake Wales, FL 33853

Other Identifiers 1

Medicaid101044600FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Anesthesiologist Assistant
410 S 11TH ST
LAKE WALES, FL 33853
Internal Medicine
410 S 11TH ST
LAKE WALES, FL 33853
Anesthesiology
410 S 11TH ST
LAKE WALES, FL 33853
General Acute Care Hospital
410 S 11TH ST
LAKE WALES, FL 33853
Emergency Medicine
410 S 11TH ST
LAKE WALES, FL 33853
Psychiatric Unit
410 S 11TH ST
LAKE WALES, FL 33853
General Acute Care Hospital
410 S 11TH ST
LAKE WALES, FL 33853
Emergency Medicine
410 S 11TH ST
LAKE WALES, FL 33853

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 Lake Wales Physician Services, LLC's NPI number?

The NPI number for Lake Wales Physician Services, LLC is 1164902797. It was assigned to this organization in the NPPES registry on August 14, 2018.

Where is Lake Wales Physician Services, LLC located?

Lake Wales Physician Services, LLC is located at 410 S 11th St, Lake Wales, FL 33853. The listed phone number is (863) 676-1433.

What is Lake Wales Physician Services, LLC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

When was this NPI record last updated?

The NPPES record for Lake Wales Physician Services, LLC was last updated on March 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.