Organization Active NPI

Saint Clares Medical Clinic

  • Occupational Medicine Physician
  • Lakeland, FL
National Provider Identifier
1710285796
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
94416 Issued in FL
Legal business name
SAINT CLARES MEDICAL CLINIC
Practice address
5131 S Florida Ave
Suite 1
Lakeland, FL 33813-2514
Phone
(863) 937-8991
Fax
(863) 937-8992
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Dr. Lilian C Akagbosu, MD
Title
Medical Director
Phone
(863) 937-8991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X 94416 FL Primary

Addresses

Primary practice location

5131 S Florida Ave
Suite 1
Lakeland, FL 33813-2514

Mailing address

5131 S Florida Ave
Suite 1
Lakeland, FL 33813-2514
Phone (863) 937-8991

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1710285796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 S FLORIDA AVE",
            "address_2": "SUITE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132514",
            "telephone_number": "863-937-8991",
            "fax_number": "863-937-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 S FLORIDA AVE",
            "address_2": "SUITE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132514",
            "telephone_number": "863-937-8991",
            "fax_number": "863-937-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CLARES MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "AKAGBOSU",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "863-937-8991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "94416",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 1, 2011; 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.