Jogi Walk-in Clinic Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JOGI WALK-IN CLINIC INC

Practice address

1500 Lakeland Hills Blvd
Suite #3
Lakeland, FL 33805-3257

Phone

(863) 682-8200

Fax

(863) 687-4161

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Suguna Kumari Mangilipudi, OWNER

Title

Owner

Phone

(863) 682-8200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1629027008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LAKELAND HILLS BLVD",
            "address_2": "SUITE #3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053257",
            "telephone_number": "863-682-8200",
            "fax_number": "863-687-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAKELAND HILLS BLVD",
            "address_2": "SUITE #3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053257",
            "telephone_number": "863-682-8200",
            "fax_number": "863-687-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOGI WALK-IN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "MANGILIPUDI",
        "authorized_official_first_name": "SUGUNA",
        "authorized_official_middle_name": "KUMARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-682-8200",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria De Lourdes Jimenez, RPT
• Walter Jimenez
• Neena Jinoy, APRN
• JK Huff Inc (Integrated Health of Lakeland)
• Joel B Freid PHD PA
• Mohammad Mehdi Johari Moghadam, MD
• David F Johler, CRNA
• John D. Woody, MD, PA
• John H Paul DMD PA
• John O Tucker DC PA

• General Practice Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.