LAKE CARDIOLOGY PA NPI 1346349529

NPI Information

NPI: 1346349529
Provider Name: LAKE CARDIOLOGY PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
250 EAST FOURTH AVENUE
MOUNT DORA, FL
ZIP 32757
Phone: (352) 735-1400
Get Directions

LAKE CARDIOLOGY PA is a cardiovascular disease internal medicine in Mount Dora, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LAKE CARDIOLOGY PA NPI is 1346349529. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 EAST FOURTH AVENUE
MOUNT DORA, FL
ZIP 32757-536
Phone: (352) 735-1400
Fax: (352) 735-3300

The provider's authorized official is Kenneth David Kronhaus .
The authorized official title is President and has the following contact phone number (352) 735-1400.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 10/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease		FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	057697200	MEDICAID	FLORIDA
2	72528	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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