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

Polk Wellcare Corp

Organization Specialist · NPI 1316026388

Polk Wellcare Corp is a Specialist in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2017 Windwood Ln
Lakeland, FL 33813-4807
Phone: (863) 293-3909
Fax: (863) 293-1909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0045684 (FL)

Record details

NPI number1316026388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Himagiri Ravi — Owner · (863) 293-3909
NPI enumeratedNovember 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1045 E County Road 540a, Lakeland, FL 33813-3735

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