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

Lake City Regional Medical Group LLC

Organization Family Medicine Physician · NPI 1184910036

Lake City Regional Medical Group LLC is a Family Medicine Physician in Lake City, Florida. Registered with an NPI since 2011.

In the registry since
2011
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

4225 NW American Ln
Lake City, FL 32055-8841
Phone: (386) 758-6141
Fax: (386) 758-6140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1184910036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Rodkey — Vice President · (850) 523-3816
NPI enumeratedJune 20, 2011
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4692

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