FLORIDA DEPARTMENT OF CORRECTIONS
NPI 1679810972
Health Maintenance Organization in Polk City, FL

Active since January 08, 2013CLIA 10D2114797 · Waiver
10800 EVANS RD, POLK CITY, FL 33868(863) 984-2273(863) 984-1021 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Florida Department Of Corrections NPPES

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

FLORIDA DEPARTMENT OF CORRECTIONS (NPI 1679810972) is a healthcare organization registered as a health maintenance organization in Polk City, Florida and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Long N Do, Chief Health Officer, as its authorized official.

NPPES Registry Identity

NPI1679810972
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NamePOLK CORRECTIONAL INSTITUTION
Location Address10800 EVANS RDPolk City, FL 33868-6925
Mailing Address1531 Mccrea DrLutz, FL 33549-3583 · (863) 984-2273 · Fax (863) 984-1021
Fax(863) 984-1021
Organization SubpartNo
Authorized OfficialLong N DoChief Health Officer · (863) 984-2273
Enumeration DateJanuary 8, 2013
NPI 1679810972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License Licensed in FL · PA9100731
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
10800 EVANS RD, Polk City, FL 33868

Other Names 1

Other NameFlorida Department Of Corrections

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2114797

Polk Correctional Institution Polk Work Camp Bartow Work Release · Polk City, FL
Active · expires Jun 20, 2028
CLIA Number10D2114797
Laboratory TypePrison
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorMercedes Cabaleiro
Laboratory Phone(863) 984-5895
Laboratory LocationPolk Correctional Institution Polk Work Camp Bartow Work Release10800 Evans Rd, Polk City, FL 33868
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Polk Correctional Institution's NPI number?

The NPI number for Polk Correctional Institution is 1679810972. It was assigned to this organization in the NPPES registry on January 8, 2013. The provider is also known as Florida Department Of Corrections.

Where is Polk Correctional Institution located?

Polk Correctional Institution is located at 10800 Evans Rd, Polk City, FL 33868. The listed phone number is (863) 984-2273.

What is Polk Correctional Institution's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Does Polk Correctional Institution hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2114797) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Polk Correctional Institution was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.