Individual provider Active NPI

Michael Lamkin

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1023656840
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005185 Issued in FL
Practice address
1903 E Fletcher Ave
Tampa, FL 33612-3713
Phone
(813) 344-1084
Fax
(813) 803-5444
NPI assigned
Dec 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11005185 FL Primary

Addresses

Primary practice location

1903 E Fletcher Ave
Tampa, FL 33612-3713

Mailing address

1903 E Fletcher Ave
Tampa, FL 33612-3713
Phone (813) 344-1084

Other practice location 1

2391 Caney Wood Ct S
Jacksonville, FL 32218-9095
Phone (904) 862-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200706001183 FL Practitioner - Nurse Practitioner 9638592967 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11005185FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Emergency Medicine Doctors, LLC CurrentSince Apr 6, 2025 Accepting new patients
Ibrahim Heart Clinic PLLC CurrentSince Mar 1, 2020 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Oct 23, 2022 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Aug 1, 2022 Accepting new patients
Quality Primary Care P a Past Accepting new patients

Locations

215 S US Highway 17
East Palatka, FL 32131
Phone (386) 232-9203

5150 Belfort Rd
Bldg 400
Jacksonville, FL 32256
Phone (904) 296-0900

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3128 E Hillsborough Ave
Tampa, FL 33610
Phone (813) 579-1767

113 N Orlando Ave
Winter Park, FL 32789
Phone (407) 801-8400

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1023656840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123713",
            "telephone_number": "813-344-1084",
            "fax_number": "813-803-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123713",
            "telephone_number": "813-344-1084",
            "fax_number": "813-803-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2391 Caney Wood Ct S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322189095",
            "country_code": "US",
            "telephone_number": "904-862-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMKIN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.