OrganizationActive
Southside Medical Clinic
NPI 1356681845 · Clinic/Center · Lakeland, FL
Southside Medical Clinic is a Clinic/Center organization in Lakeland, FL (NPI 1356681845).
Provider details
- NPI number
- 1356681845
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roger Suares, Medical Director(863) 688-9219
- License
- ME0043239 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1707 E Edgewood Dr
Lakeland, FL 33803-3470
Phone: (863) 688-9219
Fax: (863) 687-4863
Street-level locationGet directions
Mailing address
1707 E Edgewood Dr
Lakeland, FL 33803-3470
Registry dates
- Enumerated
- 2013-02-21
- Last updated
- 2013-02-21
Frequently asked questions
- What is Southside Medical Clinic's NPI number?
- Southside Medical Clinic's National Provider Identifier (NPI) is 1356681845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Medical Clinic?
- Southside Medical Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southside Medical Clinic located?
- Southside Medical Clinic's practice location on file with NPPES is 1707 E Edgewood Dr, Lakeland, FL 33803-3470.
- What is Southside Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Southside Medical Clinic is (863) 688-9219.
- Who is the authorized official for Southside Medical Clinic?
- The authorized official listed on Southside Medical Clinic's NPPES record is Roger Suares, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Medical Clinic's NPI active?
- Yes — Southside Medical Clinic's NPI (1356681845) is active in the NPPES registry as of the last update on 2013-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.