PAVILLION - OBGYN
NPI 1487068672
General Practice in Lakeland, FL

Q: What is Lakeland Regional Health System, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 16, 2014

1324 LAKELAND HILLS BLVD, PAVILLION - OBGYN, LAKELAND, FL 33805(863) 284-6860(863) 688-7959 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Jul 21, 2020, Jun 12, 2019 (3 updates tracked since 2019).

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About Pavillion - Obgyn NPPES

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

PAVILLION - OBGYN (NPI 1487068672) is a healthcare organization registered as a general practice in Lakeland, Florida and active in the NPI registry since June 2014. The organization lists Lance Green, Vp / Cfo, as its authorized official.

NPPES Registry Identity

NPI1487068672

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameLAKELAND REGIONAL HEALTH SYSTEM, INC.

Location Address1324 LAKELAND HILLS BLVD, PAVILLION - OBGYNLakeland, FL 33805-4543

Mailing Address1324 Lakeland Hills BlvdLakeland, FL 33805-4543 · (863) 687-1100

Phone(863) 284-6860

Fax(863) 688-7959

Organization SubpartNo

Authorized OfficialLance GreenVp / Cfo · (863) 687-1100

Enumeration DateJune 16, 2014

Last NPPES UpdateJanuary 4, 20233 updates tracked since enumeration

NPPES CertifiedDecember 22, 2022

✔ NPI 1487068672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X

1324 LAKELAND HILLS BLVD, Lakeland, FL 33805

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Other Names 1

Other NamePavillion - Obgyn

Other Identifiers 1

Medicaid263421009FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

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

CHRISTIAN ABREU-RAMIREZ MD

Internal Medicine (Pulmonary Disease)