Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beacon Medical Center of Lakeland, LLC

Organization Primary Care Clinic/Center · NPI 1790604262

Beacon Medical Center of Lakeland, LLC is a Primary Care Clinic/Center in Lakeland, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2419 US Highway 98 N
Lakeland, FL 33805
Phone: (863) 333-0741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1790604262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Octavio Bravo — Owner · (305) 905-1399
NPI enumeratedJuly 10, 2026
Last updated in NPPESJuly 10, 2026
Certification dateJune 18, 2026
Mailing address2419 Us Highway 98 N, Lakeland, FL 33805

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