OrganizationActive
Palm Medical Center Lakeland LLC
NPI 1205564812 · Clinic/Center · Dade City, FL
Provider details
- NPI number
- 1205564812
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Santiago Moises Martin, President of Center Operations(305) 913-9441
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
37235 Medical Dr
Dade City, FL 33525-5246
Phone: (352) 496-5823
Fax: (352) 345-4889
Street-level locationGet directions
Mailing address
2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134
Registry dates
- Enumerated
- 2022-08-11
- Last updated
- 2022-08-11
- Certified
- 2022-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.