| Reliance Medical Centers | |
|
3655 Innovation Dr Lakeland FL 33812 | |
| (881) 414-1413 | |
| (863) 619-5995 |
| Full Name | Reliance Medical Centers |
|---|---|
| Speciality | Family Medicine |
| Location | 3655 Innovation Dr, Lakeland, Florida |
| Authorized Official Name and Position | Roberto Martinez (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 8884141413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliance Medical Centers 4700 Exploration Ave Lakeland FL 33812-3319 Ph: (888) 414-1413 | Reliance Medical Centers 3655 Innovation Dr Lakeland FL 33812 Ph: (881) 414-1413 |
| NPI Number | 1760600142 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 05/20/2022 |
| Medicare PECOS PAC ID | 4981785094 |
|---|---|
| Medicare Enrollment ID | O20080115000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760600142 | NPI | - | NPPES |
| 112384300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Rosa M Fiorenzano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215345111 PECOS PAC ID: 5294098869 Enrollment ID: I20180412001106 |
| Provider Name | Jose A Pares |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912115445 PECOS PAC ID: 6800780057 Enrollment ID: I20181109000028 |
| Provider Name | Sandra Lee Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730744350 PECOS PAC ID: 4688908973 Enrollment ID: I20190619003396 |
| Provider Name | Kristen Lynn Tolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174095616 PECOS PAC ID: 3971830605 Enrollment ID: I20190802003018 |
| Provider Name | Nikki Beales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770114464 PECOS PAC ID: 9537589239 Enrollment ID: I20201019002696 |
| Provider Name | Tabitha Kuhn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033486477 PECOS PAC ID: 7315348596 Enrollment ID: I20210624003470 |
| Provider Name | Penne Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619550076 PECOS PAC ID: 8820499767 Enrollment ID: I20210629002120 |
| Provider Name | Kathryn Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578293908 PECOS PAC ID: 7810364494 Enrollment ID: I20221110003260 |
| Provider Name | Andrew Paul Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598256752 PECOS PAC ID: 0547638041 Enrollment ID: I20221114002581 |
| Provider Name | Amanda Marie Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649849431 PECOS PAC ID: 8022487107 Enrollment ID: I20221212002498 |
Adult Primary Care Of Polk County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4740 Exploration Ave, Lakeland, FL 33812 Phone: 863-666-9020 Fax: 863-606-0887 | |
Verimed Health Group Lakeland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1417 Lakeland Hills Blvd, Suite 204, Lakeland, FL 33805 Phone: 813-415-5038 | |
Ethos Health Lakeland, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 Commerce Dr Ste 104, Lakeland, FL 33813 Phone: 352-732-5590 Fax: 352-732-0292 | |
Premier Walk In Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5676 S Florida Ave, Lakeland, FL 33813 Phone: 863-644-3400 Fax: 863-619-2400 | |
Central Florida Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 903 Lowry Ave, Lakeland, FL 33801 Phone: 866-234-8534 | |
Bond Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2039 E Edgewood Dr, Lakeland, FL 33803 Phone: 863-293-1191 | |
Lake Miriam Campus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4710 S Florida Ave, Lakeland, FL 33813 Phone: 863-284-6800 Fax: 863-284-6807 |