Organization Active NPI

North Lakeland Pain & Trauma Inc

  • Specialist
  • Lakeland, FL
National Provider Identifier
1962556878
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0070584 Issued in FL
Legal business name
NORTH LAKELAND PAIN & TRAUMA INC
Practice address
5516 US 98 North
Lakeland, FL 33809
Phone
(863) 858-3993
Fax
(863) 858-7398
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Gloria G Petrone
Title
Ceo
Phone
(863) 858-3993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0070584 FL Primary

Addresses

Primary practice location

5516 US 98 North
Lakeland, FL 33809

Mailing address

5516 US 98 North
Lakeland, FL 33809-3101
Phone (863) 858-3993

National Provider Directory

National Provider Directory

Locations

5516 US Highway 98 N
Lakeland, FL 33809
Phone (863) 858-3993

117 W Alexander St
Plant City, FL 33563
Phone (863) 608-5330

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1962556878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 US 98 NORTH",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093101",
            "telephone_number": "863-858-3993",
            "fax_number": "863-858-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 US 98 NORTH",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33809",
            "telephone_number": "863-858-3993",
            "fax_number": "863-858-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAKELAND PAIN & TRAUMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "PETRONE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-858-3993"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0070584",
            "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 Jan 22, 2008; 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.