Active NPI
Rossiter & Cummaro Enterprize LLC
Doing business as Rce
- Primary Care Clinic/Center
- Lakeland, FL
National Provider Identifier
1093362386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ROSSITER & CUMMARO ENTERPRIZE LLC
- Doing business as
- Rce
- Practice address
- 170 Fitzgerald Rd Ste 1
Lakeland, FL 33813-2633 - Phone
- (813) 754-7777
- NPI assigned
- Aug 21, 2019
- Last updated
- Jun 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelly King, MD
- Title
- Medical Director
- Phone
- (813) 244-4741
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | |||
| Clinical Genetics (M.D.) Physician | 207SG0201X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
170 Fitzgerald Rd Ste 1
Lakeland, FL 33813-2633
Mailing address
170 Fitzgerald Rd Ste 1
Lakeland, FL 33813-2633
Other names 1
- RCE
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospitalist Physician
- Brandon, FL
- NPI 1114998606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656288000000",
"number": "1093362386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 FITZGERALD RD STE 1",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 FITZGERALD RD STE 1",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132633",
"telephone_number": "813-754-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSSITER & CUMMARO ENTERPRIZE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-21",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "813-244-4741",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RCE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "RCE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.