PABLO CAMPUS
NPI 1619312360
Clinic/Center - Multi-Specialty in Lakeland, FL

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since May 08, 2013

130 PABLO ST, LAKELAND, FL 33803(863) 284-5941(863) 284-5199 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jan 24, 2023, Jan 5, 2023, Dec 13, 2022 and 2 more (5 updates tracked since 2019).

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About Pablo Campus NPPES

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

PABLO CAMPUS (NPI 1619312360) is a healthcare organization registered as a multi-specialty in Lakeland, Florida and active in the NPI registry since May 2013. The organization lists Lance Green, Vp / Cfo, as its authorized official.

NPPES Registry Identity

NPI1619312360

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameLAKELAND REGIONAL HEALTH SYSTEMS, INC.

Location Address130 PABLO STLakeland, FL 33803-3818

Mailing AddressAttn: Managed Care Department, 1324 Lakleland Hills BlvdLakeland, FL 33805-4543 · (863) 687-1100

Phone(863) 284-5941

Fax(863) 284-5199

Organization SubpartNo

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

Enumeration DateMay 8, 2013

Last NPPES UpdateJanuary 24, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2023

✔ NPI 1619312360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X

Also ListedUrologyTaxonomy 208800000X

Also ListedGeneral PracticeTaxonomy 208D00000X

130 PABLO ST, Lakeland, FL 33803

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Other Names 1

Other NamePablo Campus

Other Identifiers 1

Medicaid263421006FL

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.

JENNIFER GLISSON FRASIER APRN

Nurse Practitioner