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Organization

Michelle Henne, M.D., P.A.

NPI Record: ActiveFamily Medicine — Sports Medicine
NPI1225564073
Lakeland, Florida

Provider's NPPES record last updated: August 17, 2026

Overview

Entity Type
Organization
NPI
1225564073
Primary Specialty
Family Medicine — Sports Medicine
Practice Location
Lakeland, Florida
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 8:20 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Sports Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

    Taxonomy code 207QS0010X
  • Clinic/Center

    Student Health

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QS1000X

Provider-Reported License Information

Clinic/Center (Florida)
ME121120
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

5421 S Florida Ave

Lakeland, Florida 33813-2523

Phone: (863) 401-4401

Additional Practice Location

475 E Central Ave

Winter Haven, Florida 33880-3051

Phone: (863) 401-4401

Fax: (866) 824-2717

Record Information

Enumeration Date
May 11, 2017
Provider's NPPES Record Last Updated
August 17, 2026
Certification Date
August 17, 2026
NPISignal NPPES Dataset
August 2026

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