Active NPI
Dean Healthcare Solutions LLC
- Clinic/Center
- Lakeland, FL
National Provider Identifier
1679167134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- DEAN HEALTHCARE SOLUTIONS LLC
- Practice address
- 1500 Lakeland Hills Blvd Ste 4
Lakeland, FL 33805-3257 - Phone
- (863) 937-7157
- Fax
- (863) 333-0260
- NPI assigned
- Feb 25, 2021
- 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
- Byron R Dean, DO
- Title
- Manager
- Phone
- (863) 937-7157
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1500 Lakeland Hills Blvd Ste 4
Lakeland, FL 33805-3257
Mailing address
1500 Lakeland Hills Blvd Ste 4
Lakeland, FL 33805-3257
Phone (863) 937-7157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275345600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1500 Lakeland Hills Blvd
Ste 4
Lakeland, FL 33805
Phone (863) 688-3674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614211200000",
"number": "1679167134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 LAKELAND HILLS BLVD STE 4",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053257",
"telephone_number": "863-937-7157",
"fax_number": "863-333-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LAKELAND HILLS BLVD STE 4",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053257",
"telephone_number": "863-937-7157",
"fax_number": "863-333-0260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEAN HEALTHCARE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "BYRON",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "863-937-7157",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275345600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.