Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Active
Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Active
Other names
Hollis Cancer Center Campus
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
3525 LAKELAND HILLS BLVD, LAKELAND, FL 33805-1965
(863) 603-6565
(863) 904-1961
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
208800000X
Urology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
FL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263421010
—
FL
Enumeration date
06/18/2014
Last updated
01/24/2023
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