# ICATS LAKELAND LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003256215
- **Authorized official:** JERRY MICHAEL BENFIELD JR. MD (CEO)
- **Authorized official phone:** (502) 327-9100

## Contact information

- **Practice address:** 10151 DEERWOOD PARK BLVD STE 200-250, JACKSONVILLE, FL 32256-0589
- **Practice address phone:** (502) 327-9100
- **Practice address fax:** (855) 632-8329
- **Mailing address:** 140 WHITTINGTON PKWY STE 100, LOUISVILLE, KY 40222-4930
- **Mailing address phone:** (502) 327-9100
- **Mailing address fax:** (855) 632-8329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2013
- **Last updated:** 07/02/2013