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PALM MEDICAL CENTER LAKELAND LLC
NPI 1396699591
General Practice in Tampa, FL

Active since February 24, 2026
5035 E BUSCH BLVD # 1AB, TAMPA, FL 33617(813) 988-4400(813) 988-4401 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Palm Medical Center Lakeland Llc NPPES

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

PALM MEDICAL CENTER LAKELAND LLC (NPI 1396699591) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since February 2026. The organization lists Carmel N Boswell, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1396699591
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePALM MEDICAL CENTER LAKELAND LLC
Location Address5035 E BUSCH BLVD # 1ABTampa, FL 33617-5310
Mailing Address2600 S Douglas Rd Ste 308Coral Gables, FL 33134-6134 · (305) 913-9454 · Fax (305) 442-1198
Phone(813) 988-4400
Fax(813) 988-4401
Organization SubpartNo
Authorized OfficialCarmel N BoswellCredentialing Manager · (813) 538-7880
Enumeration DateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1396699591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

5035 E BUSCH BLVD # 1AB, Tampa, FL 33617
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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

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 10D2151743

Palm Medical Center - Tampa · Tampa, FL
Expired · Jul 25, 2026
CLIA Number10D2151743
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2024
Certificate Expiration DateJuly 25, 2026
Laboratory DirectorOkoroafor Maduagwu
Laboratory Phone(863) 682-0846
Laboratory LocationPalm Medical Center - Tampa5035 E Busch Blvd Suites 1a & 1b, Tampa, FL 33617
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. CESAR AUGUSTO MOLANO-MURILLO M.D
General Practice
5035 E BUSCH BLVD # 1AB
TAMPA, FL 33617
Hillsborough County (813) 988-4400
DR. WDSVING A OSORIO MD
General Practice
5035 E BUSCH BLVD # 1AB
TAMPA, FL 33617
Hillsborough County (813) 538-7880

Frequently Asked Questions

What is PALM MEDICAL CENTER LAKELAND LLC's NPI number?

The NPI number assigned to this healthcare provider is 1396699591, enumerated as an "organization" on February 24, 2026.

Where is the provider located?

The provider is located at 5035 E BUSCH BLVD # 1AB TAMPA, FL 33617 and the phone number is (813) 988-4400.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.