PALM MEDICAL CENTER LAKELAND LLC
NPI 1437650579
Clinic/Center in Lakeland, FL

Active since February 23, 2018CLIA 10D1008150 · Waiver
135 E 1ST ST, LAKELAND, FL 33805(863) 686-2728 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2021, Jul 20, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

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 a CLIA Waiver certificate valid through January 12, 2027, 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
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

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 45035 E Busch Blvd Ste 1A&1BTampa, FL 33617-5310 · Phone (813) 988-4400
Location 55985 S Florida AveLakeland, FL 33813-2533 · Phone (863) 644-8459
Location 6950 1st St SWinter Haven, FL 33880-3665 · Phone (863) 295-5604

Accepted 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
Expired · 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 10

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

Family Medicine
135 E 1ST ST
LAKELAND, FL 33805
Nurse Practitioner (Adult Health)
135 E 1ST ST
LAKELAND, FL 33805
General Practice
135 E 1ST ST
LAKELAND, FL 33805
Clinic/Center (Primary Care)
135 E 1ST ST
LAKELAND, FL 33805
Internal Medicine
135 E 1ST ST
LAKELAND, FL 33805
General Practice
135 E 1ST ST
LAKELAND, FL 33805
Internal Medicine
135 E 1ST ST
LAKELAND, FL 33805
Internal Medicine
135 E 1ST ST
LAKELAND, FL 33805

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 Palm Medical Center Lakeland LLC's NPI number?

The NPI number for Palm Medical Center Lakeland LLC is 1437650579. It was assigned to this organization in the NPPES registry on February 23, 2018.

Where is Palm Medical Center Lakeland LLC located?

Palm Medical Center Lakeland LLC is located at 135 E 1st St, Lakeland, FL 33805. The listed phone number is (863) 686-2728.

What is Palm Medical Center Lakeland LLC's specialty?

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

Does Palm Medical Center Lakeland LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1008150) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palm Medical Center Lakeland LLC accept?

Health plans from Wellpoint list Palm Medical Center Lakeland LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palm Medical Center Lakeland LLC was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.