LAKE PARK INTERNAL MEDICNE
NPI 1396949293
Clinic/Center - Primary Care in Tampa, FL

Active since June 13, 2007
16646 N DALE MABRY HWY, TAMPA, FL 33618(813) 908-5253(813) 908-9100 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Park Internal Medicne NPPES

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

LAKE PARK INTERNAL MEDICNE (NPI 1396949293) is a healthcare organization registered as a primary care in Tampa, Florida and active in the NPI registry since June 2007. The organization lists Pam Farley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396949293
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCITRUS PARK INTERNAL MEDICINE
Location Address16646 N DALE MABRY HWYTampa, FL 33618-1400
Mailing AddressPo Box 273788Tampa, FL 33688-3788 · (813) 908-5253 · Fax (813) 908-9100
Fax(813) 908-9100
Organization SubpartNo
Authorized OfficialPam FarleyOffice Manager · (813) 908-5253
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1396949293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in FL · ME82596
16646 N DALE MABRY HWY, Tampa, FL 33618

Other Names 1

Doing Business AsLake Park Internal Medicne

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
16646 N DALE MABRY HWY
TAMPA, FL 33618
Clinic/Center (Multi-Specialty)
16646 N DALE MABRY HWY
TAMPA, FL 33618
Family Medicine
16646 N DALE MABRY HWY
TAMPA, FL 33618
Physician Assistant
16646 N DALE MABRY HWY
TAMPA, FL 33618

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 Citrus Park Internal Medicine's NPI number?

The NPI number for Citrus Park Internal Medicine is 1396949293. It was assigned to this organization in the NPPES registry on June 13, 2007. The provider is doing business as Lake Park Internal Medicne.

Where is Citrus Park Internal Medicine located?

Citrus Park Internal Medicine is located at 16646 N Dale Mabry Hwy, Tampa, FL 33618. The listed phone number is (813) 908-5253.

What is Citrus Park Internal Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Citrus Park Internal Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.