Lakeside Pediatrics South in Lakeland - Pediatrics
Lakeside Pediatrics South - NPI 1174539548
Lakeside Pediatrics South is a Pediatrics in Lakeland, Florida. Lakeside Pediatrics South practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lakeside Pediatrics South is 1174539548. The last update date is 2015-05-29.
Lakeside Pediatrics South's current location address is 5950 S Florida Ave, Lakeland, Florida. You can contact this provider via phone number 8636198441 and fax number 8636466579. The mailing address for Lakeside Pediatrics South is 5950 S Florida Ave, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Pediatrics South |
|---|---|
| Address | 5950 S Florida Ave, Lakeland, Florida |
| Phone Number | 8636198441 |
| Fax Number | 8636466579 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Cory J Matthew |
| Credentials | MD |
| Telephone Number | 8636883550 |
NPI Number Detail
| NPI Number | 1174539548 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2015-05-29 |
Provider Mailing Address Detail
| Address | 5950 S Florida Ave |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338132532 |
| Phone Number | 8636198441 |
| Fax Number | 8636466579 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 251933001 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lakeside Pediatrics South?
The Lakeside Pediatrics South has been issued the NPI (National Provider Identifier) 1174539548 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Lakeside Pediatrics South is physically located?
The Lakeside Pediatrics South is situated at the following address: 5950 S Florida Ave, Lakeland, FL 338132532.
What is Lakeside Pediatrics South's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lakeside Pediatrics South's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Lakeside Pediatrics South receive its 1174539548 assignment from the Centers for Medicare & Medicaid Services?
The Lakeside Pediatrics South was assigned its 1174539548 by the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date was the information regarding Lakeside Pediatrics South, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lakeside Pediatrics South, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-05-29.
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