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MIS PROVIDER NETWORK LLC
NPI 1700529369
Family Medicine in Lakeland, FL

Active since April 20, 2022
170 FITZGERALD RD STE 1, LAKELAND, FL 33813(813) 687-5858 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mis Provider Network Llc NPPES

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

MIS PROVIDER NETWORK LLC (NPI 1700529369) is a healthcare organization registered as a family medicine in Lakeland, Florida and active in the NPI registry since April 2022. The organization lists Wendy L Bradshaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1700529369
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIS PROVIDER NETWORK LLC
Location Address170 FITZGERALD RD STE 1Lakeland, FL 33813-2633
Mailing Address170 Fitzgerald Rd Ste 1Lakeland, FL 33813-2633 · (813) 687-5858
Phone(813) 687-5858
Organization SubpartNo
Authorized OfficialWendy L BradshawOwner · (813) 687-5858
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1700529369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
170 FITZGERALD RD STE 1, Lakeland, FL 33813
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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

Other Providers at the Same Location NPPES 5

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

ROSSITER & CUMMARO ENTERPRIZE LLC
Clinic/Center (Primary Care)
170 FITZGERALD RD STE 1
LAKELAND, FL 33813
Polk County (813) 754-7777
MY DOCTORS LIVE NETWORK
Clinic/Center (Multi-Specialty)
170 FITZGERALD RD STE 1
LAKELAND, FL 33813
Polk County (800) 838-8840
MILESTONES EARLY INTERVENTION SERVICES NETWORK
Family Medicine
170 FITZGERALD RD STE 1
LAKELAND, FL 33813
Polk County (863) 638-8372
JUAN O BRAVO
General Practice
170 FITZGERALD RD STE 1
LAKELAND, FL 33813
Polk County (863) 701-2318
JUAN OSCAR BRAVO MD, CWS
Preventive Medicine (Undersea and Hyperbaric Medicine)
170 FITZGERALD RD STE 1
LAKELAND, FL 33813
Polk County (863) 777-2736

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 Mis Provider Network LLC's NPI number?

The NPI number for Mis Provider Network LLC is 1700529369. It was assigned to this organization in the NPPES registry on April 20, 2022.

Where is Mis Provider Network LLC located?

Mis Provider Network LLC is located at 170 Fitzgerald Rd Ste 1, Lakeland, FL 33813. The listed phone number is (813) 687-5858.

What is Mis Provider Network LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mis Provider Network LLC was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.