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 Cardiovascular Disease Physician · NPI 1700724036

Lakeland Regional Health Systems, Inc is a Cardiovascular Disease Physician in Lakeland, Florida. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
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

1409 N Florida Ave
Lakeland, FL 33805-3659
Phone: (863) 284-5020
Fax: (863) 284-5387
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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
Cardiovascular Disease Physician Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Interventional Cardiology Physician Taxonomy 207RI0011X

Record details

NPI number1700724036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Green — Evp/Cfo · (863) 687-1100
NPI enumeratedMarch 25, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address1324 Lakeland Hills Blvd, Attn: Managed Care, Lakeland, FL 33805-4543

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