Active NPI
North Lakeland Pain & Trauma Inc
- Specialist
- Lakeland, FL
National Provider Identifier
1962556878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0070584
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.
-
- Specialist
- Lakeland, FL
- NPI 1477747178
-
- Chiropractor
- Doral, FL
- NPI 1609911247
-
- Chiropractor
- Lakeland, FL
- NPI 1750572376
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.