PALM MEDICAL CENTER LAKELAND LLC
NPI 1346019197
Clinic/Center in Dunedin, FL

Active since December 21, 2023
585 MAIN ST STE 101, DUNEDIN, FL 34698(727) 222-0836(727) 222-1284 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About PALM MEDICAL CENTER LAKELAND LLC

This page provides the complete NPI Profile along with additional information for Palm Medical Center Lakeland Llc, a provider established in Dunedin, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1346019197 assigned on December 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Santiago Moises Martin (President Center Operations)

NPI
1346019197 Verify this NPI
Provider Name
PALM MEDICAL CENTER LAKELAND LLC
Entity Type
Organization
Location Address
585 MAIN ST STE 101 DUNEDIN, FL 34698
Location Phone
(727) 222-0836
Location Fax
(727) 222-1284
Mailing Address
2600 S DOUGLAS RD STE 308 CORAL GABLES, FL 33134
Mailing Phone
(813) 538-7880
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2023
Last Update Date
12-21-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SANTIAGO MOISES MARTIN

Authorized Official Title
PRESIDENT CENTER OPERATIONS
Authorized Official Phone
(305) 913-9441

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Specialist/Technologist, Other (EEG)
585 MAIN ST STE 101
DUNEDIN, FL 34698
Clinic/Center
585 MAIN ST STE 101
DUNEDIN, FL 34698
Nurse Practitioner (Family)
585 MAIN ST STE 101
DUNEDIN, FL 34698

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346019197, enumerated as an "organization" on December 21, 2023.

The provider is located at 585 MAIN ST STE 101 DUNEDIN, FL 34698 and the phone number is (727) 222-0836.

Clinic/Center with taxonomy code 261Q00000X.