Humanitary Medical Center Lakeland, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HUMANITARY MEDICAL CENTER LAKELAND, INC

Practice address

1421 Bartow Rd
Lakeland, FL 33801-6574

Phone

(813) 499-1500

Fax

(813) 499-1499

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Eliecer Gonzalez

Title

President

Phone

(813) 468-1866

Specialties & licenses 1

Addresses

Other names 1

• Humanitary Medical Center Lakeland, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johan Vargas, M.D.

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1578002903

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1801628128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143985",
            "telephone_number": "813-468-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 BARTOW RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016574",
            "telephone_number": "813-499-1500",
            "fax_number": "813-499-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANITARY MEDICAL CENTER LAKELAND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ELIECER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-468-1866"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humanitary Medical Center Lakeland, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Lynn Hughes, PTA
• Hull and Associates, P. a.
• Anna Hull, MS, CCC-SLP
• Kayla Lynn Hull, LMT
• Kevin B Hull, LMHC
• Joseph D Humphrey
• Arlene Nitza Hunt, LMHC
• Mallory Katherine Hunt, CRNA
• Victoria Joy Hunt, LMHC
• May E. Hunter

• Primary Care Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.