OrganizationActive
Lakeside Pediatrics South
NPI 1174539548 · Pediatrics Physician · Lakeland, FL
Lakeside Pediatrics South is a Pediatrics Physician organization in Lakeland, FL (NPI 1174539548).
Provider details
- NPI number
- 1174539548
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Cory, Partner(863) 688-3550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5950 S Florida Ave
Lakeland, FL 33813-2532
Phone: (863) 619-8441
Fax: (863) 646-6579
Street-level locationGet directions
Mailing address
5950 S Florida Ave
Lakeland, FL 33813-2532
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2015-05-29
Frequently asked questions
- What is Lakeside Pediatrics South's NPI number?
- Lakeside Pediatrics South's National Provider Identifier (NPI) is 1174539548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Pediatrics South?
- Lakeside Pediatrics South is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Pediatrics South located?
- Lakeside Pediatrics South's practice location on file with NPPES is 5950 S Florida Ave, Lakeland, FL 33813-2532.
- What is Lakeside Pediatrics South's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Pediatrics South is (863) 619-8441.
- Who is the authorized official for Lakeside Pediatrics South?
- The authorized official listed on Lakeside Pediatrics South's NPPES record is Matthew Cory, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Pediatrics South's NPI active?
- Yes — Lakeside Pediatrics South's NPI (1174539548) is active in the NPPES registry as of the last update on 2015-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.