Provider Type Icon

SOUTH LAKE ANESTHESIA SERVICES P.A. NPI 1750710778


NPI Information

NPI: 1750710778
Provider Name: SOUTH LAKE ANESTHESIA SERVICES, P.A.
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization

CLIA Number: 10D2006653

Address:
1099 CITRUS TOWER BLVD
CLERMONT, FL
ZIP 34711
Phone: (352) 394-4071
Get Directions

SOUTH LAKE ANESTHESIA SERVICES, P.A. is a nurse anesthetist certified registered in Clermont, FL. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. SOUTH LAKE ANESTHESIA SERVICES, P.A. NPI is 1750710778. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1099 CITRUS TOWER BLVD
CLERMONT, FL
ZIP 34711-947
Phone: (352) 394-4071

The provider's authorized official is Brian Connor .
The authorized official title is Administrator and has the following contact phone number (352) 243-9114.

The CLIA number assigned to this NPI record is 10D2006653 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2013 and was last updated on 11/12/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified RegisteredYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145233MEDICARE 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.