CAPERNAUM MEDICAL CENTER FOR KIDS PLLC
NPI 1417422015
Clinic/Center in Lakeland, FL

Q: What is Capernaum Medical Center For Kids PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 10, 2018

2024 EDGEWOOD DR S, LAKELAND, FL 33803(863) 232-4323(863) 337-5728 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Oct 12, 2018 (2 updates tracked since 2018).

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About Capernaum Medical Center For Kids Pllc NPPES

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

CAPERNAUM MEDICAL CENTER FOR KIDS PLLC (NPI 1417422015) is a healthcare organization registered as a clinic/center in Lakeland, Florida and active in the NPI registry since October 2018. The organization maintains 4 additional practice locations and lists Eric Roberto Vernier, Md, as its authorized official.

NPPES Registry Identity

NPI1417422015

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCAPERNAUM MEDICAL CENTER FOR KIDS PLLC

Location Address2024 EDGEWOOD DR SLakeland, FL 33803-3637

Mailing Address2024 Edgewood Dr SLakeland, FL 33803-3637 · (863) 232-4323 · Fax (863) 337-5728

Phone(863) 232-4323

Fax(863) 337-5728

Organization SubpartYesParent: Capernaum Medical Center For Kids, Pllc

Authorized OfficialEric Roberto VernierMd · (813) 647-6050

Enumeration DateOctober 10, 2018

Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration

NPPES CertifiedAugust 15, 2024

✔ NPI 1417422015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

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).

2024 EDGEWOOD DR S, Lakeland, FL 33803

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Secondary Practice Locations 4

Location 14710 N Habana Ave Ste 404Tampa, FL 33614-7152 · Phone (863) 232-4323 · Fax (863) 337-5728

Location 2250 Westshore PlzTampa, FL 33609-1811 · Phone (863) 232-4323 · Fax (863) 337-5728

Location 35129 S Lakeland Dr Ste 2Lakeland, FL 33813-2599 · Phone (863) 232-4323 · Fax (863) 337-5728

Location 43040 Park Pond WayKissimmee, FL 34741-7662 · Phone (863) 232-4323 · Fax (863) 337-5728

Other Providers at the Same Location NPPES 13

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

REANNA MAXWELL ARNP

Nurse Practitioner (Family)

2024 EDGEWOOD DR S
LAKELAND, FL 33803

Polk County (863) 232-4323

DR. ARTHUR WILLIAM MOORE III D.M.D.

Dentist (Oral and Maxillofacial Surgery)

2024 EDGEWOOD DR S
LAKELAND, FL 33803

Polk County (863) 667-4726

DR. ERIC ROBERTO VERNIER MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

2024 EDGEWOOD DR S, SUITE 1
LAKELAND, FL 33803

Polk County (863) 232-4323

CAPERNAUM AUTISM CENTER LLC

Behavior Analyst

2024 EDGEWOOD DR S
LAKELAND, FL 33803

Polk County (813) 553-8253

MRS. GRETHEL DIAZ APRN11041379

Nurse Practitioner

2024 EDGEWOOD DR S
LAKELAND, FL 33803

Polk County (863) 232-4323

DR. RONALD LANGFORD JAMES D.M.D.

Dentist (General Practice)

2024 EDGEWOOD DR S, SUITE 2
LAKELAND, FL 33803

Polk County (863) 666-5449

SHARON PAUL LMHC, NCC

Counselor (Mental Health)

2024 EDGEWOOD DR S
LAKELAND, FL 33803

Polk County (863) 529-7148

ROLANDO BETANCOURT

Technician, Health Information

2024 EDGEWOOD DR S
LAKELAND, FL 33803

Polk County (813) 502-9670

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 Capernaum Medical Center For Kids PLLC's NPI number?

The NPI number for Capernaum Medical Center For Kids PLLC is 1417422015. It was assigned to this organization in the NPPES registry on October 10, 2018.

Where is Capernaum Medical Center For Kids PLLC located?

Capernaum Medical Center For Kids PLLC is located at 2024 Edgewood Dr S, Lakeland, FL 33803. The listed phone number is (863) 232-4323.

What is Capernaum Medical Center For Kids PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Capernaum Medical Center For Kids PLLC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.