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

Capernaum Medical Center

Organization Pediatric Nephrology Physician · NPI 1134675317

Capernaum Medical Center is a Pediatric Nephrology Physician in Lakeland, Florida. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

5129 S Lakeland Dr Unit 1 And 2
Lakeland, FL 33813-2598
Phone: (212) 361-9408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X
Pediatric Nephrology Physician Taxonomy 2080P0210X

Record details

NPI number1134675317
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Vernier — President · (212) 361-9408
NPI enumeratedAugust 29, 2016
Last updated in NPPESAugust 29, 2016
Mailing addressPo Box 95448, Lakeland, FL 33804-5448