Organization Name: | LAKELAND REGIONAL HEALTH SYSTEMS, INC. |
NPI Number: | 1053757526 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EVAN C JONES (CFO) |
Mailing Address: | 430 E Central Ave Winter Haven |
State: | FL US |
Postal Code: | 338803050 |
Phone Number: | 8632846850 |
Fax Number: | 8632846853 |
NPI Enumeration Date: | 05/10/2013 |
NPI Last Update Date: | 03/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |