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LAKESIDE PEDIATRICS SOUTH
NPI 1174539548
Pediatrics in Lakeland, FL

Active since July 31, 2006CLIA Certified · 2 labs
5950 S FLORIDA AVE, LAKELAND, FL 33813(863) 619-8441(863) 646-6579 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Pediatrics South NPPES

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

LAKESIDE PEDIATRICS SOUTH (NPI 1174539548) is a healthcare organization registered as a pediatrics in Lakeland, Florida and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Matthew J Cory, Partner, as its authorized official.

NPPES Registry Identity

NPI1174539548
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLAKESIDE PEDIATRICS SOUTH
Location Address5950 S FLORIDA AVELakeland, FL 33813-2532
Mailing Address5950 S Florida AveLakeland, FL 33813-2532 · (863) 619-8441 · Fax (863) 646-6579
Phone(863) 619-8441
Fax(863) 646-6579
Organization SubpartNo
Authorized OfficialMatthew J CoryPartner · (863) 688-3550
Enumeration DateJuly 31, 2006
Last NPPES UpdateMay 29, 2015
✔ NPI 1174539548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5950 S FLORIDA AVE, Lakeland, FL 33813
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Other Identifiers 1

Medicaid251933001FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D0909349

Lakeside Pediatrics South · Lakeland, FL
Active · expires Apr 11, 2028
CLIA Number10D0909349
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorSairah Y. Chachad
Laboratory Phone(863) 688-3550
Laboratory LocationLakeside Pediatrics South5950 South Florida Ave, Lakeland, FL 33813
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0671219

Lakeside Pediatrics · Lakeland, FL
Active · expires Dec 22, 2027
CLIA Number10D0671219
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorSairah Y. Chachad
Laboratory Phone(863) 688-3550
Laboratory LocationLakeside Pediatrics2929 Lakeland Hills Blvd, Lakeland, FL 33805
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

DR. MATTHEW J CORY MD
Pediatrics
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
ANNETTE CHILTON
Lactation Consultant, Non-RN
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
MRS. CYNTHIA LORENE KOHL APRN
Nurse Practitioner (Pediatrics)
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
MARY G WAGONER ARNP
Nurse Practitioner (Pediatrics)
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (407) 438-3557
ASHLEY SIBY JOSEPH NP
Pediatrics
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
MR. RODNEY L SNOW ARNP
Nurse Practitioner (Pediatrics)
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
DR. YESENIA RAMOS M.D.
Pediatrics
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550
DR. JACQUELINE Q SOSA M.D.
Pediatrics
5950 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 688-3550

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 Lakeside Pediatrics South's NPI number?

The NPI number for Lakeside Pediatrics South is 1174539548. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Lakeside Pediatrics South located?

Lakeside Pediatrics South is located at 5950 S Florida Ave, Lakeland, FL 33813. The listed phone number is (863) 619-8441.

What is Lakeside Pediatrics South's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Lakeside Pediatrics South hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lakeside Pediatrics South accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Lakeside Pediatrics South as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Pediatrics South was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.