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PRESTIGE COMMUNITY CLINIC INC
NPI 1730611492
Voluntary or Charitable in Lakeland, FL

Active since March 31, 2017
110 W 7TH ST, LAKELAND, FL 33805(407) 535-3857(239) 302-1344 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Voluntary or Charitable

About PRESTIGE COMMUNITY CLINIC INC

This page provides the complete NPI Profile along with additional information for Prestige Community Clinic Inc, a provider established in Lakeland, Florida operating as a Voluntary Or Charitable. The healthcare provider is registered in the NPI registry with number 1730611492 assigned on March 2017. The practitioner's primary taxonomy code is 251V00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mrs. Ann Violet Lockhart (Chairman /registered Agent)

NPI
1730611492 Verify this NPI
Provider Name
PRESTIGE COMMUNITY CLINIC INC
Entity Type
Organization
Location Address
110 W 7TH ST LAKELAND, FL 33805
Location Phone
(407) 535-3857
Location Fax
(239) 302-1344
Mailing Address
579 FINCH CT KISSIMMEE, FL 34759
Mailing Phone
(407) 535-3857
Mailing Fax
(239) 302-1344
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2017
Last Update Date
03-31-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Voluntary or Charitable

Taxonomy Code
251V00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ANN VIOLET LOCKHART

Authorized Official Title
CHAIRMAN /REGISTERED AGENT
Authorized Official Phone
(407) 535-3857

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Frequently Asked Questions

What is PRESTIGE COMMUNITY CLINIC INC's NPI number?

The NPI number assigned to this healthcare provider is 1730611492, enumerated as an "organization" on March 31, 2017.

Where is the provider located?

The provider is located at 110 W 7TH ST LAKELAND, FL 33805 and the phone number is (407) 535-3857.

What is the provider's specialty?

Voluntary or Charitable with taxonomy code 251V00000X.