OrganizationActive
Total Pediatric Healthcareii
NPI 1487880977 · Pediatrics Physician · Lakeland, FL
Provider details
- NPI number
- 1487880977
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stewart Grant, President(863) 815-3775
- License
- ME72163 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
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
930 Marcum Rd
Lakeland, FL 33809-4308
Phone: (863) 815-3775
Fax: (863) 815-3765
Street-level locationGet directions
Mailing address
5337 N Socrum Loop Rd
Lakeland, FL 33809-4256
Registry dates
- Enumerated
- 2009-06-10
- Last updated
- 2009-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.