| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1144224718 | CHAN-PONG | JIMMY | C | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 338054543 | |
| 1265482962 | HTUN | THANE | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 338054543 | ||
| 1124023635 | NAING | AUNG | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 338054543 | ||
| 1750387296 | VADAPARAMPIL | MATHEW | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 338054543 |