Active NPI
Medhealth Group, LLC
- Clinic/Center
- Winter Haven, FL
National Provider Identifier
1720504947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MEDHEALTH GROUP, LLC
- Practice address
- 395 Cypress Gardens Blvd
Winter Haven, FL 33880 - Phone
- (407) 658-9687
- Fax
- (407) 658-9688
- NPI assigned
- Aug 18, 2017
- Organization subpart
- Yes
- Parent organization
- MEDHEALTH GROUP, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lyzette Lorenz
- Title
- Credentialing Specialist
- Phone
- (407) 658-9687
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | FL | Primary |
Addresses
Primary practice location
395 Cypress Gardens Blvd
Winter Haven, FL 33880
Mailing address
121 S Orange Ave Ste 940
Orlando, FL 32801-3234
Phone (407) 658-9687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y6B5K | Other | FL | FL BLUE |
National Provider Directory
National Provider Directory- Part of
- Medhealth Group LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506038400000",
"number": "1720504947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S ORANGE AVE STE 940",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328013234",
"telephone_number": "407-658-9687",
"fax_number": "407-658-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 CYPRESS GARDENS BLVD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "33880",
"telephone_number": "407-658-9687",
"fax_number": "407-658-9688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDHEALTH GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDHEALTH GROUP, LLC",
"enumeration_date": "2017-08-18",
"last_updated": "2017-09-22",
"status": "A",
"authorized_official_last_name": "LORENZ",
"authorized_official_first_name": "LYZETTE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "407-658-9687",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BLUE",
"identifier": "Y6B5K",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
- Jordan Alexes McMillen
- Stephen Louis McNally, APRN
- Steven Craig McNutt, D.D.S., P.A.
- MD Medical Operations LLC
- Sarah Means
- Mediation & Counseling Consultants, Inc. (Body Psychology)
- Medical Home Alliance LLC (IMA Winter Haven Dispensary)
- Raquel Enid Medina Roldan, RBT-24-391837
- Ace Sterling Roxas Medina, OT
- Bernardo Medina, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.