PALM MEDICAL CENTER LAKELAND LLC - NPI 1437650579

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261Q00000X.

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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 1437650579) is a healthcare organization registered as a clinic/center in Lakeland, Florida and active in the NPI registry since February 2018. The organization holds 2 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists Santiago Moises Martin, Coo, as its authorized official.

NPPES Registry Identity

NPI1437650579

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePALM MEDICAL CENTER LAKELAND LLC

Location Address135 E 1ST STLakeland, FL 33805-4609

Mailing Address2600 S Douglas Rd Ste 308Coral Gables, FL 33134-6134

Phone(863) 686-2728

Organization SubpartNo

Authorized OfficialSantiago Moises MartinCoo · (305) 913-9441

Enumeration DateFebruary 23, 2018

Last NPPES UpdateSeptember 22, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2021

✔ NPI 1437650579 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).

135 E 1ST ST, Lakeland, FL 33805

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Secondary Practice Locations 6

Location 1175 US Highway 17 NBartow, FL 33830-4140 · Phone (863) 533-8215

Location 21509 W Reynolds StPlant City, FL 33563-4733 · Phone (813) 704-6905

Location 3127 Ridge Center DrDavenport, FL 33837-6401 · Phone (863) 421-7400

Location 4950 1st St SWinter Haven, FL 33880-3665 · Phone (863) 295-5604

Location 55985 S Florida AveLakeland, FL 33813-2533 · Phone (863) 644-8459

Location 65035 E Busch Blvd Ste 1A&1BTampa, FL 33617-5310 · Phone (813) 988-4400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D1008150

Palm Medical Center Lakeland, LLC · Lakeland, FL

Active · expires Jan 12, 2027

CLIA Number10D1008150

Laboratory TypePhysician Office

Certificate Effective DateJanuary 13, 2025

Certificate Expiration DateJanuary 12, 2027

Laboratory DirectorZaw Min

Laboratory Phone(863) 686-2728

Laboratory LocationPalm Medical Center Lakeland, LLC135 E 1st Street, Lakeland, FL 33805

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2152081

Palm Medical Center - Plant City · Plant City, FL

Active · expires Aug 1, 2026

CLIA Number10D2152081

Laboratory TypePhysician Office

Certificate Effective DateAugust 2, 2024

Certificate Expiration DateAugust 1, 2026

Laboratory DirectorDaymi Cowgill

Laboratory Phone(863) 682-0846

Laboratory LocationPalm Medical Center - Plant City1509 W Reynolds St, Plant City, FL 33563

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

JAPINDER SINGH MD

Internal Medicine