OrganizationActive
Palm Medical Center Lakeland LLC
NPI 1700654340 · Primary Care Clinic/Center · Brandon, FL
Provider details
- NPI number
- 1700654340
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Santiago Moises Martin, President of Center Operations(305) 913-9441
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
425 S Parsons Ave # 120
Brandon, FL 33511-5289
Phone: (813) 358-4249
Fax: (813) 358-4303
Street-level locationGet directions
Mailing address
2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134
Registry dates
- Enumerated
- 2023-12-13
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.