OrganizationActive
Palm Medical Center Lakeland LLC
NPI 1417642711 · Clinic/Center · Avon Park, FL
Palm Medical Center Lakeland LLC is a Clinic/Center organization in Avon Park, FL (NPI 1417642711).
Provider details
- NPI number
- 1417642711
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Santiago Moises Martin, President, Center Operations(305) 913-9441
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 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
1221 W Stratford Rd
Avon Park, FL 33825-8091
Phone: (863) 453-2500
Fax: (863) 453-0745
Street-level locationGet directions
Mailing address
2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134
Other names (DBA / former)
- Doing business as
- Palm Medical Centers
Registry dates
- Enumerated
- 2023-04-11
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Frequently asked questions
- What is Palm Medical Center Lakeland LLC's NPI number?
- Palm Medical Center Lakeland LLC's National Provider Identifier (NPI) is 1417642711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Palm Medical Center Lakeland LLC?
- Palm Medical Center Lakeland LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Palm Medical Center Lakeland LLC located?
- Palm Medical Center Lakeland LLC's practice location on file with NPPES is 1221 W Stratford Rd, Avon Park, FL 33825-8091.
- What is Palm Medical Center Lakeland LLC's phone number?
- The practice phone number listed in the NPPES registry for Palm Medical Center Lakeland LLC is (863) 453-2500.
- Who is the authorized official for Palm Medical Center Lakeland LLC?
- The authorized official listed on Palm Medical Center Lakeland LLC's NPPES record is Santiago Moises Martin, President, Center Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Palm Medical Center Lakeland LLC's NPI active?
- Yes — Palm Medical Center Lakeland LLC's NPI (1417642711) is active in the NPPES registry as of the last update on 2023-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.