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

Palm Medical Center Lakeland LLC

Organization General Practice Physician · NPI 1205564812

Palm Medical Center Lakeland LLC is a General Practice Physician in Dade City, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

37235 Medical Dr
Dade City, FL 33525-5246
Phone: (352) 496-5823
Fax: (352) 345-4889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1205564812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Santiago Moises Martin — President Of Center Operations · (305) 913-9441
NPI enumeratedAugust 11, 2022
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address2600 S Douglas Rd Ste 308, Coral Gables, FL 33134-6134

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