PALM MEDICAL CENTER LAKELAND LLC - NPI 1457205643 - General Practice in Lakeland, FL

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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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 1457205643) is a healthcare organization registered as a general practice in Lakeland, 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

NPI1457205643

Entity TypeOrganization

Primary Taxonomy208D00000X

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 · (305) 913-9454 · Fax (305) 442-1198

Phone(863) 686-2728

Fax(863) 686-6737

Organization SubpartNo

Authorized OfficialCarmel N BoswellCredentialing Manager · (813) 538-7880

Enumeration DateFebruary 24, 2026

NPPES CertifiedFebruary 24, 2026

✔ NPI 1457205643 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

135 E 1ST ST, Lakeland, FL 33805

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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