Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144561184 Individual Practitioner Male Practitioner

Dr. Agustin Vanoni , MD

General Practice • Lakeland, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Agustin Vanoni, MD is a certified General Practice practicing in Lakeland, FL. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Vanoni delivers high-quality medical care to the local community at 4729 US HIGHWAY 98 S.

Dr. Vanoni is affiliated with Medical Home Alliance, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4729 Us Highway 98 S

Lakeland, FL 338124323

Telephone 8636469663
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lakeland, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -9.1 yrs vs City Avg
City Avg: 26.1 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
40 Specialists

Practicing in Lakeland, FL (2490 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vanoni (17 Years) 17 Yrs
Lakeland Specialty Average (26.1 Years) 26.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-01
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN1315

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 19588

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Medical Home Alliance, Llc

4729 Us Hwy 98 S, Lakeland, FL 338124336

Phone: 8636469663

Secondary Practice Locations

4120 Us Highway 98 N

Lakeland, FL 338093854

Phone: 8639403147

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Sarim Idrees , MD

General Practice

NPI 1144617382

Doctor of Medicine (M.D.)

Dr. Sam Korley , MD

Internal Medicine

NPI 1518962885

Doctor of Medicine (M.D.)

NPI 1649572249

Doctor of Medicine (M.D.)

Henriette Bertheau Avila

Nurse Practitioner - Family

NPI 1740055201
Shawna Melville , PA-C

Physician Assistant

NPI 1750923272

Physician Assistant (Certified)

NPI 1881843860

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location April 01, 2025

Registered at 4729 US HIGHWAY 98 S, LAKELAND, FL 338124323 (Tel: 8636469663)

📍
Updated Practice Location October 31, 2021

Registered at 4120US HWY 98 N. SUITE 200, LAKELAND, FL 33809 (Tel: 8639403147)

📍
Updated Business Mailing Address May 06, 2021

Registered at 6675 WESTWOOD BLVD, STE 475, ORLANDO, FL 328216027 (Tel: 4078450384)

NPI Profile Active September 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2017

Registered at CALLE JOSE VAZQUEZ CARR 726, HOSPITAL MENONITA AIBONITO, AIBONITO, PR 007050070 (Tel: 7877358001)

📍
Updated Business Mailing Address September 18, 2017

Registered at PO BOX 9023321, SAN JUAN, PR 009023321

👤
Provider Name / Credentials Updated September 18, 2017

Recorded as AGUSTIN VANONI, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2017

General Practice (License #19588 in PR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2017

General Practice (License #19588 in PR)

NPI Profile Active March 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2013

Registered at 715 AVE. PONCE DE LEON, HATO REY, PR 00919 (Tel: 7877582000)

📍
Updated Business Mailing Address March 14, 2013

Registered at PO BOX 9023321, SAN JUAN, PR 009023321

👤
Provider Name / Credentials Updated March 14, 2013

Recorded as AGUSTIN VANONI, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2013

General Practice (License #13153-I in PR)

🟢
Initial NPI Registration & Enumeration March 14, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144561184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2013
Last Update: April 01, 2025
Sole Proprietor: Yes

Mailing Address

6675 Westwood Blvd, Ste 475

Orlando, FL 328216027

Phone: 4078450384

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.