Organization Active NPI

Clinical Research of Central Florida, Inc

  • Research Study Specialist
  • Lakeland, FL
National Provider Identifier
1740521715
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
Legal business name
CLINICAL RESEARCH OF CENTRAL FLORIDA, INC
Practice address
2937 Dunhill Cir
Lakeland, FL 33810-2077
Phone
(863) 853-5400
Fax
(863) 853-5421
NPI assigned
Mar 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Jennel K Smith, BS, CCRP
Title
Director
Phone
(863) 853-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 1744R1102X Primary

Addresses

Primary practice location

2937 Dunhill Cir
Lakeland, FL 33810-2077

Mailing address

2937 Dunhill Cir
Lakeland, FL 33810-2077
Phone (863) 853-5400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1740521715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 DUNHILL CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102077",
            "telephone_number": "863-853-5400",
            "fax_number": "863-853-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 DUNHILL CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102077",
            "telephone_number": "863-853-5400",
            "fax_number": "863-853-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL RESEARCH OF CENTRAL FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-853-5400",
        "authorized_official_credential": "BS, CCRP"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Research Study",
            "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 Mar 15, 2013; 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.