Active NPI
Palm Medical Center Lakeland LLC
- General Practice Physician
- Tampa, FL
National Provider Identifier
1477407690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PALM MEDICAL CENTER LAKELAND LLC
- Practice address
- 2525 E Hillsborough Ave Ste 201
Tampa, FL 33610-4449 - Phone
- (813) 238-4499
- Fax
- (813) 237-0400
- NPI assigned
- Feb 24, 2026
- 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
- Carmel N Boswell
- Title
- Credentialing Manager
- Phone
- (813) 538-7880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2525 E Hillsborough Ave Ste 201
Tampa, FL 33610-4449
Mailing address
2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134
Phone (305) 913-9454
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0871858 | Palm Medical Center Lakeland, LLC | Certificate of waiver | Jun 8, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Palm Medical Center Lakelan
Other organizations with this tax ID 35
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Lakeland, FL
- NPI 1174196042
-
- Clinic/Center
- Land O Lakes, FL
- NPI 1275106130
-
- Clinic/Center
- Tampa, FL
- NPI 1336712330
-
- Clinic/Center
- Davenport, FL
- NPI 1417520388
-
- Clinic/Center
- Winter Haven, FL
- NPI 1427621390
-
- Clinic/Center
- Bartow, FL
- NPI 1437722303
-
- Clinic/Center
- Tampa, FL
- NPI 1457924318
-
- Clinic/Center
- Plant City, FL
- NPI 1821661786
-
- Clinic/Center
- Tampa, FL
- NPI 1932772803
-
- General Practice Physician
- Tampa, FL
- NPI 1073249348
-
- Clinic/Center
- Sanford, FL
- NPI 1114600996
-
- Clinic/Center
- Orlando, FL
- NPI 1164124095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1477407690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 S DOUGLAS RD STE 308",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331346134",
"telephone_number": "305-913-9454",
"fax_number": "305-442-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 E HILLSBOROUGH AVE STE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336104449",
"telephone_number": "813-238-4499",
"fax_number": "813-237-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALM MEDICAL CENTER LAKELAND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "BOSWELL",
"authorized_official_first_name": "CARMEL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "813-538-7880"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Palm Bay Rehab Clinic Inc
- Palm Garden of Tampa LLC
- Palm Leaves Home Health Care
- Palm Medical Center Lakeland LLC
- Palm Medical Center Lakeland LLC
- Palm Medical Center Lakeland LLC
- Palm Medical Center Lakeland LLC
- Palm Wellness Center LLC
- Palma Ceia Chiropractic and Wellness Center LLC
- Palma Ceia Family Care, P.L.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.