Individual provider Active NPI

Baoquang S Le, D.O.

  • Family Medicine Physician
  • Lakeland, FL
National Provider Identifier
1447411525
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
104701 Issued in GA
Practice address
3035 Lakeland Hills Blvd Ste 4
Lakeland, FL 33805-2201
Phone
(863) 354-3050
Fax
(863) 337-3050
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS15776 FL
Family Medicine Physician 207Q00000X 104701 GA Primary
General Practice Physician 208D00000X DO1459 AL

Addresses

Primary practice location

3035 Lakeland Hills Blvd Ste 4
Lakeland, FL 33805-2201

Mailing address

PO Box 746765
Atlanta, GA 30374-6765
Phone (770) 914-0116

Other practice location 1

1485 Legends Blvd
Champions Gate, FL 33896
Phone (407) 390-6480 ext. 6602

Other practice location 2

1485 Legends Blvd
Champions Gate, FL 33896
Phone (407) 390-6480 ext. 6602

Other practice location 3

4551 Pleasant Hill Rd
Kissimmee, FL 34759-3422
Phone (407) 390-6480

Other practice location 4

13940 N US Highway 441 Ste 102
Lady Lake, FL 32159-8909
Phone (352) 751-9900

Other practice location 5

1502 W 3rd St Ste A
Jackson, GA 30233-1979
Phone (678) 774-0430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150406001771 AL Practitioner - Osteopathic Manipulative Medicine 4385962240 Reassigns benefits to 1 organization
I20190308001672 FL Practitioner - Family Practice 4385962240 Reassigns benefits to 4 organizations
I20251230003742 GA Practitioner - Family Practice 4385962240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Physicians LLCGroup PAC ID 9234554643, 30 clinicians
Oak Street Health of Georgia PCGroup PAC ID 0345658647, 37 clinicians

Practice addresses (Care Compare)

3035 Lakeland Hills Blvd
Suite 4
Lakeland, FL 33805-2201
Phone (863) 354-3050

625 S Marietta Pkwy SE
Marietta, GA 30060-2748
Phone (470) 377-7228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15776FLMDFamily Medicine Physician
104701GAMDFamily Medicine Physician
DO1459ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Regional Physicians Inc CurrentSince Dec 20, 2014 Accepting new patients
Florida Medical Associates LLC CurrentSince Sep 11, 2023 Accepting new patients
Troy Regional Physicians Inc. CurrentSince Dec 20, 2014 Accepting new patients
Florida Hospital Physician Group Inc Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Trinity Medical Physicians, LLC Family Medicine CurrentSince Mar 3, 2025 Accepting new patients
Oak Street Health of Georgia PC Family Medicine CurrentSince Jan 5, 2026 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 1, 2019 Accepting new patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients

Locations

1320 Highway 231 S
Ste 1
Troy, AL 36081
Phone (334) 566-0546

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

1320 Highway 231 S
Troy, AL 36081
Phone (334) 465-1379

1485 Legends Blvd
Champions Gate, FL 33896
Phone (407) 390-6480

410 Lionel Way
Fl 3
Davenport, FL 33837
Phone (863) 419-2420

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337

3240 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 646-4000

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

4551 Pleasant Hill Rd
Poinciana, FL 34759
Phone (407) 847-2212

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

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

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

625 S Marietta Pkwy SE
Marietta, GA 30060
Phone (470) 377-7228

1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1447411525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746765",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746765",
            "telephone_number": "770-914-0116",
            "fax_number": "770-995-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 LAKELAND HILLS BLVD STE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052201",
            "telephone_number": "863-354-3050",
            "fax_number": "863-337-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 Legends Blvd",
            "address_purpose": "LOCATION",
            "city": "Champions Gate",
            "state": "FL",
            "postal_code": "33896",
            "country_code": "US",
            "telephone_number": "407-390-6480 x6602",
            "fax_number": "407-390-6483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1485 Legends Blvd",
            "address_purpose": "LOCATION",
            "city": "Champions Gate",
            "state": "FL",
            "postal_code": "33896",
            "country_code": "US",
            "telephone_number": "407-390-6480 x6602",
            "fax_number": "407-390-6483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4551 Pleasant Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593422",
            "country_code": "US",
            "telephone_number": "407-390-6480",
            "fax_number": "407-390-6483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13940 N US Highway 441 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321598909",
            "country_code": "US",
            "telephone_number": "352-751-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1502 W 3rd St Ste A",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "GA",
            "postal_code": "302331979",
            "country_code": "US",
            "telephone_number": "678-774-0430",
            "fax_number": "770-775-3410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "BAOQUANG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15776",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "104701",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "DO1459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.