Multi-Specialty & Primary Care Practice Group of Lake Wales LLC
NPI 1467605634 · Specialist · Lake Wales, FL
Multi-Specialty & Primary Care Practice Group of Lake Wales LLC is a Specialist organization in Lake Wales, FL (NPI 1467605634).
Provider details
- NPI number
- 1467605634
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kollagunta Chandrasekhar, Owner(863) 294-5505
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2008-10-31
- Last updated
- 2009-04-08
Frequently asked questions
- What is Multi-Specialty & Primary Care Practice Group of Lake Wales LLC's NPI number?
- Multi-Specialty & Primary Care Practice Group of Lake Wales LLC's National Provider Identifier (NPI) is 1467605634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Multi-Specialty & Primary Care Practice Group of Lake Wales LLC?
- Multi-Specialty & Primary Care Practice Group of Lake Wales LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Multi-Specialty & Primary Care Practice Group of Lake Wales LLC located?
- Multi-Specialty & Primary Care Practice Group of Lake Wales LLC's practice location on file with NPPES is 1255 State Road 60 East, Lake Wales, FL 33853.
- What is Multi-Specialty & Primary Care Practice Group of Lake Wales LLC's phone number?
- The practice phone number listed in the NPPES registry for Multi-Specialty & Primary Care Practice Group of Lake Wales LLC is (863) 232-5111.
- Who is the authorized official for Multi-Specialty & Primary Care Practice Group of Lake Wales LLC?
- The authorized official listed on Multi-Specialty & Primary Care Practice Group of Lake Wales LLC's NPPES record is Kollagunta Chandrasekhar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Multi-Specialty & Primary Care Practice Group of Lake Wales LLC's NPI active?
- Yes — Multi-Specialty & Primary Care Practice Group of Lake Wales LLC's NPI (1467605634) is active in the NPPES registry as of the last update on 2009-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.