Active NPI
Lakeland Hills Medical Center
Doing business as Vanguard Medical Care
- Primary Care Clinic/Center
- Lakeland, FL
National Provider Identifier
1306601117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- LAKELAND HILLS MEDICAL CENTER
- Doing business as
- Vanguard Medical Care
- Practice address
- 2112 Lakeland Hills Blvd
Lakeland, FL 33805-2906 - Phone
- (863) 686-3633
- Fax
- (863) 682-4645
- NPI assigned
- Feb 20, 2024
- Last updated
- Feb 20, 2024
- 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
- Chester Miltenberger, MD
- Title
- Partner
- Phone
- (863) 686-3633
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | NU |
Addresses
Primary practice location
2112 Lakeland Hills Blvd
Lakeland, FL 33805-2906
Mailing address
2112 Lakeland Hills Blvd
Lakeland, FL 33805-2906
Phone (863) 686-3633
Other names 1
- Vanguard Medical Care
National Provider Directory
National Provider DirectoryLocations
2112 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-0540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1306601117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338052906",
"telephone_number": "863-686-3633",
"fax_number": "863-682-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338052906",
"telephone_number": "863-686-3633",
"fax_number": "863-682-4645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKELAND HILLS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "MILTENBERGER",
"authorized_official_first_name": "CHESTER",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "863-686-3633",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vanguard Medical Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakeland, FL
- Lakeland Family Pharmacy
- Lakeland Family Podiatry
- Lakeland FL Endoscopy ASC LLC (Surgery Center of Lakeland Hills Boulevard)
- Lakeland Foot & Ankle Center PA
- Lakeland Health Care Associates LLC (Wedgewood Healthcare Center)
- Lakeland Hills Rehabilitation Center, LLC (Lakeland Hills Center)
- Lakeland Institute for Learning Org Corp
- Lakeland Institute of Learning Inc (Lifl Rehab Services)
- Lakeland Investors LLC (Valencia Hills Health & Rehabilitation Center)
- Lakeland Medical Massage LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.