Lakeland Women's Health Center, Inc.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

760 Issued in FL

Legal business name

LAKELAND WOMEN'S HEALTH CENTER, INC.

Practice address

4444 S Florida Ave
Lakeland, FL 33813-2159

Phone

(863) 644-7541

Fax

(863) 646-4308

NPI assigned

Aug 28, 2008

Last updated

Aug 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marisella Marengo

Title

Billing and Contract Manager

Phone

(727) 442-0445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1669620027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 DREW ST",
            "address_2": "STE 103",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653238",
            "telephone_number": "727-442-0445",
            "fax_number": "727-447-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132159",
            "telephone_number": "863-644-7541",
            "fax_number": "863-646-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND WOMEN'S HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "MARENGO",
        "authorized_official_first_name": "MARISELLA",
        "authorized_official_title_or_position": "BILLING AND CONTRACT MANAGER",
        "authorized_official_telephone_number": "727-442-0445"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.