Active NPI
Ivan Drummer
- Other Technician
- Lakeland, FL
National Provider Identifier
1720836596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 5118 Garberia Ave
Lakeland, FL 33811-1571 - Phone
- (347) 245-3160
- NPI assigned
- May 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
5118 Garberia Ave
Lakeland, FL 33811-1571
Mailing address
4313 S Florida Ave # 1148
Lakeland, FL 33813-1654
Phone (813) 394-2869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1720836596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4313 S FLORIDA AVE # 1148",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338131654",
"telephone_number": "813-394-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5118 GARBERIA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338111571",
"telephone_number": "347-245-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUMMER",
"first_name": "IVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"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 May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.