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

Polaris Medical Group PA

Organization Family Nurse Practitioner · NPI 1386492726

Polaris Medical Group PA provides Family Nurse Practitioner services in Lakeland, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1705 Lakeland Hills Blvd Ste 1
Lakeland, FL 33805-3061
Phone: (863) 688-6051
Fax: (938) 336-2587
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1386492726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaison Joseph Luke — Vice President · (407) 729-4298
NPI enumeratedMay 10, 2024
Last updated in NPPESMay 10, 2024
Certification dateMay 9, 2024
Mailing address1705 Lakeland Hills Blvd Ste 1, Lakeland, FL 33805-3061

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