| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1619906807 | HENLEY | JULIAN | L | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 338054543 | |
| 1750538294 | MCCABE | JANET | FAITH | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 338054543 | |
| 1982864187 | SAMMER | EDWIN | ASHTON | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 338054543 | |
| 1194948513 | SMITH | ROBIN | M | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 338054543 |