LAKE MARY MEDICAL SERVICES LLC NPI 1699299537

NPI Information

NPI: 1699299537
Provider Name: LAKE MARY MEDICAL SERVICES, LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
4300 W LAKE MARY BLVD STE 1010-378
LAKE MARY, FL
ZIP 32746
Phone: (407) 415-5796
Get Directions

LAKE MARY MEDICAL SERVICES, LLC is a pain medicine anesthesiology in Lake Mary, FL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. LAKE MARY MEDICAL SERVICES, LLC NPI is 1699299537. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4300 W LAKE MARY BLVD STE 1010-378
LAKE MARY, FL
ZIP 32746-060
Phone: (407) 415-5796

The provider's authorized official is Melanie K. Cross .
The authorized official title is Owner and has the following contact phone number (407) 415-5796.

The enumeration date for this NPI number is 8/2/2017 and was last updated on 3/26/2019.

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	207L00000X	Anesthesiology		ME89809	FLORIDA	No
2	207LP2900X	Anesthesiology	Pain Medicine	ME89809	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	ME89809	OTHER	FLORIDA	LICENSE

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

NPI Synchronization or Removal

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