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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