OrganizationActive
Capernaum Medical Center for Kids PLLC
NPI 1417422015 · Clinic/Center · Lakeland, FL
Provider details
- NPI number
- 1417422015
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Capernaum Medical Center for Kids, PLLC
- Organization subpart
- Yes
- Authorized official
- Eric Vernier, MD(813) 647-6050
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
2024 Edgewood Dr S
Lakeland, FL 33803-3637
Phone: (863) 232-4323
Fax: (863) 337-5728
Street-level locationGet directions
Mailing address
2024 Edgewood Dr S
Lakeland, FL 33803-3637
Additional practice locations (4)
- 3040 Park Pond WayKissimmee, FL 34741-7662Phone: (863) 232-4323Fax: (863) 337-5728
- 5129 S Lakeland Dr Ste 2Lakeland, FL 33813-2599Phone: (863) 232-4323Fax: (863) 337-5728
- 250 Westshore PlzTampa, FL 33609-1811Phone: (863) 232-4323Fax: (863) 337-5728
- 4710 N Habana Ave Ste 404Tampa, FL 33614-7152Phone: (863) 232-4323Fax: (863) 337-5728
Registry dates
- Enumerated
- 2018-10-10
- Last updated
- 2024-08-15
- Certified
- 2024-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.