Individual provider Active NPI

Lanson Brijesh Colaco

  • Internal Medicine Physician
  • Wauchula, FL
National Provider Identifier
1396478160
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME172367 Issued in FL
Practice address
515 Carlton St
Wauchula, FL 33873-3407
Phone
(863) 773-6606
Fax
(863) 773-9542
NPI assigned
Jul 7, 2022
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME172367 FL Primary

Addresses

Primary practice location

515 Carlton St
Wauchula, FL 33873-3407

Mailing address

4325 Sun N Lake Blvd
Suite 105
Sebring, FL 33872

Other practice location 1

4325 Sun N Lake Blvd Ste 105
Sebring, FL 33872
Phone (863) 402-3763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818004134 FL Practitioner - Internal Medicine 8729587555 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System-Sunbelt IncGroup PAC ID 0749232445, shared by 8 NPIs, 100 clinicians

Practice addresses (Care Compare)

1210 US Hwy 27 N
Lake Placid, FL 33852-7948
Phone (863) 465-3777

4421 Sun N Lake Blvd
Sebring, FL 33872-2172
Phone (863) 382-2225

515 Carlton St
Wauchula, FL 33873-3407
Phone (863) 773-6606

533 Carlton St
Wauchula, FL 33873-3407
Phone (863) 773-3101

735 S 5TH Ave
Wauchula, FL 33873-3158
Phone (863) 773-3101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Jul 1, 2025 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Jul 1, 2025 Accepting new patients
Adventist Health System-Sunbelt Inc Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Adventist Health System-Sunbelt Inc Internal Medicine Past Accepting new patients
Adventist Health System-Sunbelt Inc Past Accepting new patients

Locations

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

200 S Scenic Hwy
Frostproof, FL 33843
Phone (863) 453-3121

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

4325 Sun N Lake Blvd
Ste 105
Sebring, FL 33872
Phone (863) 402-3130

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

515 Carlton St
Wauchula, FL 33873
Phone (863) 773-6606

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: lcolaco949554@adventhealth.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1396478160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 SUN N LAKE BLVD",
            "address_2": "SUITE 105",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CARLTON ST",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733407",
            "telephone_number": "863-773-6606",
            "fax_number": "863-773-9542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4325 Sun N Lake Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "33872",
            "country_code": "US",
            "telephone_number": "863-402-3763",
            "fax_number": "863-402-3765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLACO",
        "first_name": "LANSON",
        "middle_name": "BRIJESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME172367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauchula, FL

Sources for this page

Verify at the official NPI Registry.