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LAKESIDE FAMILY MEDICAL CENTER
NPI 1235191362
Internal Medicine in Lutz, FL

Active since April 04, 2006CLIA 10D0289486 · Waiver
1939 HIGHLAND OAKS BLVD, LUTZ, FL 33559(813) 948-1234(813) 949-8408 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lakeside Family Medical Center NPPES

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

LAKESIDE FAMILY MEDICAL CENTER (NPI 1235191362) is a healthcare organization registered as an internal medicine in Lutz, Florida and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Jerambhai T Kankotia, Doctor, as its authorized official.

NPPES Registry Identity

NPI1235191362
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTAMPA BAY INTERNAL MEDICINE INC
Location Address1939 HIGHLAND OAKS BLVDLutz, FL 33559-7323
Mailing Address1939 Highland Oaks BlvdLutz, FL 33559-7323 · (813) 948-1234 · Fax (813) 949-8408
Phone(813) 948-1234
Fax(813) 949-8408
Organization SubpartNo
Authorized OfficialJerambhai T KankotiaDoctor · (813) 948-1234
Enumeration DateApril 4, 2006
Last NPPES UpdateAugust 26, 2011
✔ NPI 1235191362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1939 HIGHLAND OAKS BLVD, Lutz, FL 33559
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Other Names 1

Doing Business AsLakeside Family Medical Center

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 AvMed.Insurance ›

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 10D0289486

Lakeside Medical Center · Lutz, FL
Active · expires Dec 27, 2026
CLIA Number10D0289486
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorJeram T. Kankotia
Laboratory Phone(813) 948-1234
Laboratory LocationLakeside Medical Center1939 Highland Oaks Blvd, Lutz, FL 33559
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JERAMBHAI T KANKOTIA MD
Internal Medicine
1939 HIGHLAND OAKS BLVD
LUTZ, FL 33559
Hillsborough County (813) 948-1234

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 Tampa Bay Internal Medicine Inc's NPI number?

The NPI number for Tampa Bay Internal Medicine Inc is 1235191362. It was assigned to this organization in the NPPES registry on April 4, 2006. The provider is doing business as Lakeside Family Medical Center.

Where is Tampa Bay Internal Medicine Inc located?

Tampa Bay Internal Medicine Inc is located at 1939 Highland Oaks Blvd, Lutz, FL 33559. The listed phone number is (813) 948-1234.

What is Tampa Bay Internal Medicine Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Tampa Bay Internal Medicine Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0289486) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tampa Bay Internal Medicine Inc accept?

Health plans from AvMed list Tampa Bay Internal Medicine Inc 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 Tampa Bay Internal Medicine Inc was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.