NPIMap

Organization Active NPI

Sanative Medical Group PLLC

  • Hospitalist Physician
  • Lakeland, FL
National Provider Identifier
1982014031
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
SANATIVE MEDICAL GROUP PLLC
Practice address
4315 Highland Park Blvd
Lakeland, FL 33813-1639
Phone
(863) 816-5884
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Rengit Philip, MD
Title
Manager
Phone
(813) 816-5884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

4315 Highland Park Blvd
Lakeland, FL 33813-1639

Mailing address

4315 Highland Park Blvd
Lakeland, FL 33813-1639
Phone (863) 816-5884

Other names 1

  • Hospitalists of Haines City Doing business as

National Provider Directory

National Provider Directory

Locations

4315 Highland Park Blvd
Lakeland, FL 33813
Phone (863) 255-4777

4315 Highland Park Blvd
Ste A
Lakeland, FL 33813
Phone (813) 651-1085

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1982014031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 HIGHLAND PARK BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131639",
            "telephone_number": "863-816-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HIGHLAND PARK BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131639",
            "telephone_number": "863-816-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANATIVE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "PHILIP",
        "authorized_official_first_name": "RENGIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-816-5884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospitalists of Haines City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 29, 2014; 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.