Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Palm Medical Center Lakeland LLC

Organization General Practice Physician · NPI 1619821808

Palm Medical Center Lakeland LLC provides General Practice Physician services in Plant City, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1509 W Reynolds St
Plant City, FL 33563-4733
Phone: (813) 704-6905
Fax: (813) 704-5998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1619821808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmel Boswell — Credentialing Manager · (813) 538-7880
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address2600 S Douglas Rd Ste 308, Coral Gables, FL 33134-6134

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