Lake Miriam Campus – Multi-Specialty Clinic/Center, NPI 1063858538

Lake Miriam Campus is a healthcare provider. based in Lakeland, Florida. specializing in Multi-Specialty Clinic/Center. The NPI Number for Lake Miriam Campus is 1063858538

Main info

Organization
Name
Lake Miriam Campus
NPI
1063858538
Phone
(863) 687-1100
Address
1324 LAKELAND HILLS BLVD
Authorized Official
LANCE GREEN VP/CFO
Enumeration Date
10 May 2013
Last Update Date
24 January 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Lake Miriam Campus

  • 1324 LAKELAND HILLS BLVD

    MANAGED CARE DEPT

    LAKELAND, FL 33805

    Phone: (863) 687-1100

    Fax: (863) 630-6528

    Type: Mailing

  • 4710 S FLORIDA AVE

    LAKELAND, FL 338132165

    Phone: (863) 284-6800

    Fax: (863) 284-6807

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33805)

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Reviews

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Frequently asked questions

How do I look up Lake Miriam Campus by NPI?
Use NPI 1063858538 when you need to reference Lake Miriam Campus in forms, claims, or directories.
Is Lake Miriam Campus currently active in the NPI registry?
CMS-published data lists Lake Miriam Campus as an active registrant.
What does Lake Miriam Campus treat or focus on?
Patients typically see Lake Miriam Campus under the specialty Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for Lake Miriam Campus?
The page summarizes Lakeland, Florida for Lake Miriam Campus; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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