Organization Active NPI

Healing Ihn LLC

  • Podiatrist
  • Lakeland, FL
National Provider Identifier
1720962871
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
HEALING IHN LLC
Practice address
5304 S Florida Ave Ste 408
Lakeland, FL 33813-2519
Phone
(863) 738-6601
Fax
(863) 937-3002
NPI assigned
Aug 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Authorized official

Name
Gloried M Ebsworth, MD
Title
Director
Phone
(863) 738-6601

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X

Addresses

Primary practice location

5304 S Florida Ave Ste 408
Lakeland, FL 33813-2519

Mailing address

5304 S Florida Ave Ste 408
Lakeland, FL 33813-2519
Phone (863) 738-6601

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758931200000",
    "number": "1720962871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 S FLORIDA AVE STE 408",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132519",
            "telephone_number": "863-738-6601",
            "fax_number": "863-937-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 S FLORIDA AVE STE 408",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132519",
            "telephone_number": "863-738-6601",
            "fax_number": "863-937-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING IHN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A",
        "authorized_official_last_name": "EBSWORTH",
        "authorized_official_first_name": "GLORIED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-738-6601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 27, 2025; 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.