Lakeland Physicians Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LAKELAND PHYSICIANS GROUP

Practice address

3234 S Florida Ave
Ste F
Lakeland, FL 33803

Phone

(863) 648-4275

Fax

(863) 648-9520

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Stephen P Nimbargi, MD

Title

Owner Director

Phone

(407) 782-3702

Specialties & licenses 1

Addresses

Tax ID family

Lakeland Physicians Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakeland Physicians Group LLC

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1174564553
  NPD tax ID

Practitioners 1

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

• Yared D Lakew, MD

  • Specialist
  • Lakeland, FL
  • NPI 1386602167
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225069735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 SANDY RIDGE CT",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "407-782-3702",
            "fax_number": "407-268-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 S FLORIDA AVE",
            "address_2": "STE F",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-648-4275",
            "fax_number": "863-648-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIMBARGI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "407-782-3702",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeland OBGYN PA
• Lakeland Oral Surgery and Specialty Center PLLC
• Lakeland Pathologists, PA
• Lakeland Periodontics, Inc
• Lakeland Physicians & Associates, LLC
• Lakeland Physicians Group LLC
• Lakeland Primary Care Associates
• Lakeland Professional Hearing Center, Inc.
• Lakeland Regional Health
• Lakeland Regional Health Surgery Center, LLC

• Internal Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.