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 1902241482

Lakeland Regional Health Systems, Inc is a Family Medicine Physician in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
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

2815 Lakeland Hills Blvd
Lakeland, FL 33805-2224
Phone: (863) 284-6900
Fax: (863) 284-6904
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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 (FL)
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X

Record details

NPI number1902241482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Green — Cfo · (863) 687-1100
Other names Gateway Campus
NPI enumeratedMay 9, 2013
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address1324 Lakeland Hills Blvd, Managed Care Dept, Lakeland, FL 33805

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