| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1295189447 | KAUTZ | SCOTT | JEFFREY | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 338055742 | |
| 1275026890 | MOON | ANTHONY | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 338054543 | ||
| 1629146816 | VON LINDEMAN | ALEXANDRA | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 338054543 |