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

Palm Medical Center Lakeland LLC

Organization General Practice Physician · NPI 1619821808

Palm Medical Center Lakeland LLC is a General Practice Physician in Plant City, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1509 W Reynolds St
Plant City, FL 33563-4733
Phone: (813) 704-6905
Fax: (813) 704-5998
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1619821808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmel Boswell — Credentialing Manager · (813) 538-7880
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address2600 S Douglas Rd Ste 308, Coral Gables, FL 33134-6134

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