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

Polk Concierge Medical Group, LLC

Organization Nurse Practitioner · NPI 1235824640

Polk Concierge Medical Group, LLC is a Nurse Practitioner in Lakeland, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

304 E Pine St # 1143
Lakeland, FL 33801-4969
Phone: (863) 339-2025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1235824640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Asia Standifer — Ceo · (352) 807-2197
NPI enumeratedApril 11, 2023
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address304 E Pine St # 1143, Lakeland, FL 33801-4969

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