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

Vascular Specialists of Lakeland, LLC

Organization Vascular Surgery Physician · NPI 1548526155

Vascular Specialists of Lakeland, LLC provides Vascular Surgery Physician services in Lakeland, Florida. Registered with an NPI since 2012.

In the registry since
2012
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

2125 Crystal Grove Dr
Lakeland, FL 33801-6875 Not confirmed with CMS for 13 years — call before visiting
Phone: (863) 688-2334
Fax: (863) 577-1167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1548526155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Goodemote — Ceo · (863) 688-2334
NPI enumeratedApril 9, 2012
Last updated in NPPESAugust 12, 2013
Mailing address2125 Crystal Grove Dr, Lakeland, FL 33801-6875

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