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

Lakeland Regional Health Systems, Inc

Organization Dermatology Physician · NPI 1609280635

Lakeland Regional Health Systems, Inc is a Dermatology Physician in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
14
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

3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone: (863) 603-6565
Fax: (863) 904-1961
Show map & directions

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X (FL)
Dermatology Physician Taxonomy 207N00000X
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X
Hematology & Oncology Physician Taxonomy 207RH0003X
Interventional Cardiology Physician Taxonomy 207RI0011X
Nephrology Physician Taxonomy 207RN0300X
Gynecologic Oncology Physician Taxonomy 207VX0201X
Radiation Oncology Physician Taxonomy 2085R0001X
Surgery Physician Taxonomy 208600000X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X
Surgical Oncology Physician Taxonomy 2086X0206X
Urology Physician Taxonomy 208800000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X

Record details

NPI number1609280635
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Green — Cfo · (863) 687-1100
Other names Hollis Cancer Center Campus
NPI enumeratedJune 18, 2014
Last updated in NPPESJanuary 24, 2023
Certification dateDecember 22, 2022
Mailing address1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543

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