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

Lakeland Regional Health Systems, Inc

Organization Family Medicine Physician · NPI 1497321822

Lakeland Regional Health Systems, Inc is a Family Medicine Physician in Plant City, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

511 W Alexander St
Plant City, FL 33563-7116
Phone: (863) 284-5000
Fax: (863) 413-4744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Rheumatology Physician Taxonomy 207RR0500X
Pediatrics Physician Taxonomy 208000000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1497321822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Green — Evp/Cfo · (863) 687-1100
NPI enumeratedMay 27, 2021
Last updated in NPPESJanuary 4, 2023
Certification dateDecember 22, 2022
Mailing address1324 Lakeland Hills Blvd, Managed Care Dept, Lakeland, FL 33805

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