Verimed Health Group Lakeland LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VERIMED HEALTH GROUP LAKELAND LLC

Practice address

809 S Florida Ave
Lakeland, FL 33801-5234

Phone

(863) 688-5811

NPI assigned

Jun 20, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miheala Shields

Title

Administrator

Phone

(863) 688-5811

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oleg Merges, MD

  • Internal Medicine Physician
  • Davenport, FL
  • NPI 1174031686
  Medicare reassignment NPD
• Pablo Antonio Serrano Lopez, M.D.

  • General Practice Physician
  • Plant City, FL
  • NPI 1730598004
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1013321793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015234",
            "telephone_number": "863-688-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015234",
            "telephone_number": "863-688-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERIMED HEALTH GROUP LAKELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "MIHEALA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-688-5811"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Alberto Vera, M.D.
• Amy Lin Verble, ARNP FNP-C
• Michael Verdul, ARNP
• Karol A Vergara
• Vericare of Florida, Inc.
• Ajay K Verma, MD
• Eric Roberto Vernier, MD
• Vernon a Stapleton OD PA
• Vernon a. Stapleton, O.D.,P.a.
• Vernon Smith DMD PLLC

• Primary Care Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.