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Palm Medical Center Lakeland LLC

General Practice Physician in Tampa, FL · enumerated 2022 · authorized official Santiago Moises Martin, President of Center Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073249348

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Registry record

Entity type Organization (Type 2)
Legal business name Palm Medical Center Lakeland LLC
Practice address 11017 N Dale Mabry Hwy Ste B, Tampa, FL, 33618
Phone (813) 337-7402
Fax (813) 461-6462
Enumeration date Jul 28, 2022
Last updated in NPPES Jul 28, 2022

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Santiago Moises Martin
Title President of Center Operations
Phone (305) 913-9441

Other identifiers

Identifier Type State Issuer
016289500 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Palm Medical Center Lakeland LLC?
The NPI for Palm Medical Center Lakeland LLC is 1073249348, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Palm Medical Center Lakeland LLC?
NPPES lists Santiago Moises Martin (President of Center Operations) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-28.