VASCULAR SPECIALISTS OF LAKELAND, LLC
NPI 1548526155
Surgery - Vascular Surgery in Lakeland, FL

Active since April 09, 2012
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801(863) 688-2334(863) 577-1167 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vascular Specialists Of Lakeland, Llc NPPES

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

VASCULAR SPECIALISTS OF LAKELAND, LLC (NPI 1548526155) is a healthcare organization registered as a vascular surgery in Lakeland, Florida and active in the NPI registry since April 2012. The organization lists Edward J Goodemote, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548526155
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameVASCULAR SPECIALISTS OF LAKELAND, LLC
Location Address2125 CRYSTAL GROVE DRLakeland, FL 33801-6875
Mailing Address2125 Crystal Grove DrLakeland, FL 33801-6875 · (863) 688-2334 · Fax (863) 577-1167
Fax(863) 577-1167
Organization SubpartNo
Authorized OfficialEdward J GoodemoteCeo · (863) 688-2334
Enumeration DateApril 9, 2012
Last NPPES UpdateAugust 12, 2013
NPI 1548526155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2125 CRYSTAL GROVE DR, Lakeland, FL 33801

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

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.

Radiology (Diagnostic Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Radiology (Diagnostic Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Nurse Practitioner (Family)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Nurse Practitioner (Family)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Radiology (Diagnostic Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Radiology (Vascular & Interventional Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Radiology (Diagnostic Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801
Radiology (Diagnostic Radiology)
2125 CRYSTAL GROVE DR
LAKELAND, FL 33801

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 Vascular Specialists Of Lakeland, LLC's NPI number?

The NPI number for Vascular Specialists Of Lakeland, LLC is 1548526155. It was assigned to this organization in the NPPES registry on April 9, 2012.

Where is Vascular Specialists Of Lakeland, LLC located?

Vascular Specialists Of Lakeland, LLC is located at 2125 Crystal Grove Dr, Lakeland, FL 33801. The listed phone number is (863) 688-2334.

What is Vascular Specialists Of Lakeland, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Vascular Specialists Of Lakeland, LLC was last updated on August 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.