Lakeland Regional Health System, Inc
Clinic/center (Multi-Specialty) Clinic
455 Emerald Ave, Lake Wales
Florida, 33853-4716
863-676-0014 863-284-6825
Maps & DirectionsLakeland Regional Health System, Inc is a Family Medicine Clinic in Lake Wales, Florida. It is situated at 455 Emerald Ave, Lake Wales and its contact number is 863-676-0014. The authorized person of Lakeland Regional Health System, Inc is Lance Green
who is Evp/cfo of the clinic and their contact number is 863-687-1100.
Lakeland Regional Health System, Inc Clinic Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Complete Profile:
Lakeland Regional Health System, Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Specialization: | Family Medicine |
| Clinic Address: | 455 Emerald Ave, Lake Wales,
Florida, 33853-4716 |
| Phone: | 863-676-0014 |
| Fax: | 863-284-6825 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Lance Green |
| Position: | Evp/cfo |
| Contact Number: | 863-687-1100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lakeland Regional Health System, Inc Clinic are as mentioned below.
| NPI Number: | 1215609011 |
| NPI Enumeration Date: | 30 Sep, 2021 |
| NPI Last Update On: | 05 Apr, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakeland Regional Health System, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic/center (Multi-Specialty) | | | Primary | |
| Family Medicine | | | Secondary | |
| Orthopaedic Surgery | | | Secondary | |
| General Practice | | | Secondary | |
| Surgical Oncology | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 263421021 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lakeland Regional Health System, Inc
Attn Managed Care Department, 1324 Lakeland Hills Blvd
Lakeland, Florida |
| Zip: | 33805 |
| Phone Number: | 863-687-1100 |
| Fax Number: | 863-284-6825 |
Patients can reach Lakeland Regional Health System, Inc at
455 Emerald Ave, Lake Wales, Florida or can
call to book an appointment on 863-676-0014.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.