Organization Active NPI

Mainsail Medical Inc

  • Family Medicine Physician
  • Lakeland, FL
National Provider Identifier
1982829099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7901 Issued in FL
Legal business name
MAINSAIL MEDICAL INC
Practice address
625 Commerce Dr
Suite 207
Lakeland, FL 33813-2768
Phone
(863) 701-7188
Fax
(863) 701-2014
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roxann Castelli Cook, D.O.NPI 1427055318
Title
Owner, Physician
Phone
(863) 701-7188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS7901 FL Primary

Addresses

Primary practice location

625 Commerce Dr
Suite 207
Lakeland, FL 33813-2768

Mailing address

625 Commerce Dr
Suite 207
Lakeland, FL 33813-2768
Phone (863) 701-7188

National Provider Directory

National Provider Directory

Locations

625 Commerce Dr
Ste 207
Lakeland, FL 33813
Phone (863) 701-7188

619 Midflorida Dr
Ste 1
Lakeland, FL 33813
Phone (863) 701-5789

464 W Pipkin Rd
Ste 2
Lakeland, FL 33813
Phone (863) 701-7188

Practitioners & affiliated clinicians

Practitioners 1

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982829099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COMMERCE DR",
            "address_2": "SUITE 207",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132768",
            "telephone_number": "863-701-7188",
            "fax_number": "863-701-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COMMERCE DR",
            "address_2": "SUITE 207",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132768",
            "telephone_number": "863-701-7188",
            "fax_number": "863-701-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSAIL MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ROXANN",
        "authorized_official_middle_name": "CASTELLI",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "863-701-7188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7901",
            "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 Aug 22, 2020; 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.