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

Polaris Medical Group PA

Organization Family Nurse Practitioner · NPI 1386492726

Polaris Medical Group PA is a Family Nurse Practitioner in Lakeland, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1705 Lakeland Hills Blvd Ste 1
Lakeland, FL 33805-3061
Phone: (863) 688-6051
Fax: (938) 336-2587
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1386492726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaison Joseph Luke — Vice President · (407) 729-4298
NPI enumeratedMay 10, 2024
Last updated in NPPESMay 10, 2024
Certification dateMay 9, 2024
Mailing address1705 Lakeland Hills Blvd Ste 1, Lakeland, FL 33805-3061

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