PALM MEDICAL CENTER LAKELAND LLC
NPI 1619821808
General Practice in Plant City, FL

Active since February 24, 2026
1509 W REYNOLDS ST, PLANT CITY, FL 33563(813) 704-6905(813) 704-5998 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1619821808) is a healthcare organization registered as a general practice in Plant City, 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

NPI1619821808
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePALM MEDICAL CENTER LAKELAND LLC
Location Address1509 W REYNOLDS STPlant City, FL 33563-4733
Mailing Address2600 S Douglas Rd Ste 308Coral Gables, FL 33134-6134 · (305) 913-9454 · Fax (305) 442-1198
Fax(813) 704-5998
Organization SubpartNo
Authorized OfficialCarmel N BoswellCredentialing Manager · (813) 538-7880
Enumeration DateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
NPI 1619821808 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
1509 W REYNOLDS ST, Plant City, FL 33563

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 2

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

General Practice
1509 W REYNOLDS ST
PLANT CITY, FL 33563
Clinic/Center
1509 W REYNOLDS ST
PLANT CITY, FL 33563

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 1619821808. It was assigned to this organization in the NPPES registry on February 24, 2026.

Where is Palm Medical Center Lakeland LLC located?

Palm Medical Center Lakeland LLC is located at 1509 W Reynolds St, Plant City, FL 33563. The listed phone number is (813) 704-6905.

What is Palm Medical Center Lakeland LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Palm Medical Center Lakeland LLC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.