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

Capernaum Medical Center for Kids PLLC

Organization Clinic/Center · NPI 1417422015

Capernaum Medical Center for Kids PLLC is a Clinic/Center in Lakeland, Florida. Works from 5 locations. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2024 Edgewood Dr S
Lakeland, FL 33803-3637
Phone: (863) 232-4323
Fax: (863) 337-5728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 3040 Park Pond Way, Kissimmee, FL 34741-7662 — (863) 232-4323
  • 5129 S Lakeland Dr Ste 2, Lakeland, FL 33813-2599 — (863) 232-4323
  • 250 Westshore Plz, Tampa, FL 33609-1811 — (863) 232-4323
  • 4710 N Habana Ave Ste 404, Tampa, FL 33614-7152 — (863) 232-4323

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1417422015
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCapernaum Medical Center for Kids, PLLC
Authorized official Eric Vernier — Md · (813) 647-6050
NPI enumeratedOctober 10, 2018
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address2024 Edgewood Dr S, Lakeland, FL 33803-3637

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