Mis Provider Network LLC
NPI 1700529369 · Family Medicine Physician · Lakeland, FL
Mis Provider Network LLC is a Family Medicine Physician organization in Lakeland, FL (NPI 1700529369).
Provider details
- NPI number
- 1700529369
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendy Bradshaw, Owner(813) 687-5858
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-04-20
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Frequently asked questions
- What is Mis Provider Network LLC's NPI number?
- Mis Provider Network LLC's National Provider Identifier (NPI) is 1700529369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mis Provider Network LLC?
- Mis Provider Network LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mis Provider Network LLC located?
- Mis Provider Network LLC's practice location on file with NPPES is 170 Fitzgerald Rd Ste 1, Lakeland, FL 33813-2633.
- What is Mis Provider Network LLC's phone number?
- The practice phone number listed in the NPPES registry for Mis Provider Network LLC is (813) 687-5858.
- Who is the authorized official for Mis Provider Network LLC?
- The authorized official listed on Mis Provider Network LLC's NPPES record is Wendy Bradshaw, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mis Provider Network LLC's NPI active?
- Yes — Mis Provider Network LLC's NPI (1700529369) is active in the NPPES registry as of the last update on 2022-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.