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LAKE PULMONARY CRITICAL CARE NPI 1396759023


NPI Information

NPI: 1396759023
Provider Name: LAKE PULMONARY CRITICAL CARE

Other Name: LAKESIDE SLEEP CENTER

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1876 NIGHTINGALE LN
TAVARES, FL
ZIP 32778
Phone: (352) 343-9943
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LAKE PULMONARY CRITICAL CARE is a pulmonary disease internal medicine in Tavares, FL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. LAKE PULMONARY CRITICAL CARE NPI is 1396759023. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Lakeside Sleep Center.

The provider's business location address is:

1876 NIGHTINGALE LN
TAVARES, FL
ZIP 32778-359
Phone: (352) 343-9943
Fax: (352) 343-0661

The provider's authorized official is Jessica Lynn Barber .
The authorized official title is Operations Manaager and has the following contact phone number (352) 742-4447.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 1/13/2011.


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
1207RP1001XInternal MedicinePulmonary DiseaseYes

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
15933487104OTHERFLORIDATAX ID #
2V3034OTHERFLORIDABCBS OF FLORIDA
321518MEDICARE PINFLORIDA

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: 5/5/2024

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