Healthcare Provider Details

I. General information

NPI: 1679408397
Provider Name (Legal Business Name): JOSHUA BILTZ PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 S FLORIDA AVE STE 105
LAKELAND FL
33803-3809
US

IV. Provider business mailing address

2600 S FLORIDA AVE STE 105
LAKELAND FL
33803-3809
US

V. Phone/Fax

Practice location:
  • Phone: 863-732-7200
  • Fax:
Mailing address:
  • Phone: 863-732-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11048858
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN9386378
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: