Organization Active NPI

Lakeland Hills Medical Center

Doing business as Vanguard Medical Care

  • Primary Care Clinic/Center
  • Lakeland, FL
National Provider Identifier
1306601117
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.