FLORIDA DEPARTMENT OF HEALTH IN POLK COUNTY – Public Health or Welfare Agency, NPI 1396732541
Public Health or Welfare Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for FLORIDA DEPARTMENT OF HEALTH IN POLK COUNTY
1290, Golfview Avenue, Bartow, Polk County, Florida, 33830, United States
ATTN: ACCOUNTS RECEIVABLES
BARTOW, FL 338306740
Phone: (863) 519-7900
Fax: (863) 519-7696
Type: Mailing
1290 GOLFVIEW AVE STE 308
BARTOW, FL 338306740
Phone: (863) 519-7900
Fax: (863) 519-7696
Type: Mailing
3241, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
LAKELAND, FL 338052266
Phone: (863) 413-2620
Fax: (863) 499-2612
Type: Location
1290 Golfview Ave Ste 308
Bartow, FL 338306703
Phone: (863) 519-7900
Fax: (863) 519-7696
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-05-17
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100517000771 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33830)
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