BEACON MEDICAL CENTER OF LAKELAND LLC
NPI 1790604262
Clinic/Center - Primary Care in Lakeland, FL
About Beacon Medical Center Of Lakeland Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEACON MEDICAL CENTER OF LAKELAND LLC (NPI 1790604262) is a healthcare organization registered as a primary care in Lakeland, Florida and active in the NPI registry since July 2026. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Octavio A Bravo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 10D2347124
Beacon Medical Center Of Lakeland, LLC · Lakeland, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Beacon Medical Center Of Lakeland LLC's NPI number?
The NPI number for Beacon Medical Center Of Lakeland LLC is 1790604262. It was assigned to this organization in the NPPES registry on July 10, 2026.
Where is Beacon Medical Center Of Lakeland LLC located?
Beacon Medical Center Of Lakeland LLC is located at 2419 Us Highway 98 N, Lakeland, FL 33805. The listed phone number is (863) 333-0741.
What is Beacon Medical Center Of Lakeland LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Beacon Medical Center Of Lakeland LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2347124) is associated with this NPI, valid through July 12, 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 Beacon Medical Center Of Lakeland LLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.
# Beacon Medical Center Of Lakeland Llc · NPI 1790604262
Primary Care organization in Lakeland, Florida. Organization record, active in the CMS NPPES registry since July 10, 2026.
## Identity
- **NPI:** 1790604262 (Entity type: Organization)
- **Enumerated:** July 10, 2026
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Octavio Bravo, OWNER
## Practice location
- **Address:** 2419 US HIGHWAY 98 N, Lakeland, FL 33805
- **Phone:** (863) 333-0741
## Record status
- **NPPES last updated:** October 1, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790604262) · Data from the CMS NPPES public registry.