Active NPI
Dean Medical Group LLC
- Family Medicine Physician
- Lakeland, FL
National Provider Identifier
1124998802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DEAN MEDICAL GROUP LLC
- Practice address
- 1500 Lakeland Hills Blvd
Lakeland, FL 33805-3257 - Phone
- (407) 719-6673
- NPI assigned
- Nov 7, 2025
- 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
- Byron Dean
- Title
- Ceo
- Phone
- (407) 719-6673
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Infectious Disease Physician | 207RI0200X | |||
| Nephrology Physician | 207RN0300X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Urology Physician | 208800000X |
Addresses
Primary practice location
1500 Lakeland Hills Blvd
Lakeland, FL 33805-3257
Mailing address
3616 Harden Blvd # 311
Lakeland, FL 33803-5938
Phone (407) 719-6673
National Provider Directory
National Provider DirectoryLocations
1500 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-0178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762473600000",
"number": "1124998802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3616 HARDEN BLVD # 311",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338035938",
"telephone_number": "407-719-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053257",
"telephone_number": "407-719-6673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEAN MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-07",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "BYRON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-719-6673"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.