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CANNACARE MEDICAL GROUP LLC
NPI 1780345728
Clinic/Center in Lakeland, FL

Active since January 03, 2022
1046 S FLORIDA AVE, LAKELAND, FL 33803(800) 201-3624 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cannacare Medical Group Llc NPPES

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

CANNACARE MEDICAL GROUP LLC (NPI 1780345728) is a healthcare organization registered as a clinic/center in Lakeland, Florida and active in the NPI registry since January 2022. The organization lists Jocelyn Grace Edmundson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1780345728
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCANNACARE MEDICAL GROUP LLC
Location Address1046 S FLORIDA AVELakeland, FL 33803-1118
Mailing Address2137 Sandy HookLakeland, FL 33813-1350 · (918) 914-0895
Phone(800) 201-3624
Organization SubpartNo
Authorized OfficialJocelyn Grace EdmundsonOffice Manager · (918) 914-0895
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
✔ NPI 1780345728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1046 S FLORIDA AVE, Lakeland, FL 33803
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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.

YVETTE JASEL GOMEZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1046 S FLORIDA AVE
LAKELAND, FL 33803
Polk County (813) 999-1516
JOCELYN GRACE EDMUNDSON CNA
Nurse's Aide
1046 S FLORIDA AVE
LAKELAND, FL 33803
Polk County (863) 816-3449

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 Cannacare Medical Group LLC's NPI number?

The NPI number for Cannacare Medical Group LLC is 1780345728. It was assigned to this organization in the NPPES registry on January 3, 2022.

Where is Cannacare Medical Group LLC located?

Cannacare Medical Group LLC is located at 1046 S Florida Ave, Lakeland, FL 33803. The listed phone number is (800) 201-3624.

What is Cannacare Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Cannacare Medical Group LLC was last updated on January 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.