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Lake Wales Clinic Corp

Family Medicine Physician in Lake Wales, FL · enumerated 2005 · authorized official James Wright, Vp Physician Business Services.

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

National Provider Identifier

1457350027

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Wales Clinic Corp
Parent organization Lake Wales Clinic Corp
Practice address 410 S 11th St, Lake Wales, FL, 33853
Enumeration date Jul 18, 2005
Last updated in NPPES Jul 22, 2019

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2084N0600X Clinical Neurophysiology Physician Allopathic & Osteopathic Physicians Secondary
2084S0012X Sleep Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name James Wright
Title Vp Physician Business Services

Other identifiers

Identifier Type State Issuer
26904200 Medicaid FL -
74943 Other FL BCBS

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

Who is the authorized official for Lake Wales Clinic Corp?
NPPES lists James Wright (Vp Physician Business Services) as the authorized official for this organization.
What is the NPI number for Lake Wales Clinic Corp?
The NPI for Lake Wales Clinic Corp is 1457350027, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-22.