1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. General Practice
  6. NPI Profile

PALM MEDICAL CENTER LAKELAND LLC
NPI 1942154133
General Practice in Tampa, FL

Active since February 24, 2026CLIA 10D1066216 · Waiver
613 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603(813) 237-1958(813) 237-8147 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Palm Medical Center Lakeland Llc NPPES

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

PALM MEDICAL CENTER LAKELAND LLC (NPI 1942154133) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Carmel N Boswell, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1942154133
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePALM MEDICAL CENTER LAKELAND LLC
Location Address613 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33603-3400
Mailing Address2600 S Douglas Rd Ste 308Coral Gables, FL 33134-6134 · (305) 913-9454 · Fax (305) 442-1198
Phone(813) 237-1958
Fax(813) 237-8147
Organization SubpartNo
Authorized OfficialCarmel N BoswellCredentialing Manager · (813) 538-7880
Enumeration DateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1942154133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
613 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33603
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D1066216

Palm Medical Center Lakeland, LLC · Tampa, FL
Active · expires Mar 18, 2027
CLIA Number10D1066216
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorSanjiv Desai
Laboratory Phone(813) 237-1958
Laboratory LocationPalm Medical Center Lakeland, LLC613 W Martin Luther King Blvd, Tampa, FL 33603
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. SUMAN ASHOK BHAT M.D.
Psychiatry & Neurology (Psychiatry)
613 W DR MARTIN LUTHER KING JR BLVD, SUITE 101
TAMPA, FL 33603
Hillsborough County (813) 237-1958
ASHOK BHAT M.D. PA
Internal Medicine
613 W DR MARTIN LUTHER KING JR BLVD, 101
TAMPA, FL 33603
Hillsborough County (813) 237-1958
DR. ASHOK HARIHAR BHAT M.D.
Internal Medicine
613 W DR MARTIN LUTHER KING JR BLVD, SUITE 101
TAMPA, FL 33603
Hillsborough County (813) 237-1958
HEALTH HOLDINGS COMPANY LLC
Clinic/Center
613 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33603
Hillsborough County (813) 237-1958

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 Palm Medical Center Lakeland LLC's NPI number?

The NPI number for Palm Medical Center Lakeland LLC is 1942154133. It was assigned to this organization in the NPPES registry on February 24, 2026.

Where is Palm Medical Center Lakeland LLC located?

Palm Medical Center Lakeland LLC is located at 613 W Dr Martin Luther King Jr Blvd, Tampa, FL 33603. The listed phone number is (813) 237-1958.

What is Palm Medical Center Lakeland LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Palm Medical Center Lakeland LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1066216) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palm Medical Center Lakeland LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Palm Medical Center Lakeland LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palm Medical Center Lakeland LLC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.