LAKE PULMONARY CRITICAL CARE P A NPI 1851372494

NPI Information

NPI: 1851372494
Provider Name: LAKE PULMONARY CRITICAL CARE P A
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1876 NIGHTINGALE LN
TAVARES, FL
ZIP 32778
Phone: (352) 742-4447
Get Directions

LAKE PULMONARY CRITICAL CARE P A 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 P A NPI is 1851372494. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1876 NIGHTINGALE LN
TAVARES, FL
ZIP 32778-359
Phone: (352) 742-4447
Fax: (352) 742-4448

The provider's authorized official is Jessica Lynn Barber .
The authorized official title is Operations Manager and has the following contact phone number (352) 742-4631.

The enumeration date for this NPI number is 11/10/2005 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
1	364SC0200X	Clinical Nurse Specialist	Critical Care Medicine	ARNP9218919	FLORIDA	No
2	363LA2200X	Nurse Practitioner	Adult Health	ARNP9218919	FLORIDA	No
3	207RS0012X	Internal Medicine	Sleep Medicine			No
4	207RC0200X	Internal Medicine	Critical Care Medicine			No
5	207RP1001X	Internal Medicine	Pulmonary Disease			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	254399100	MEDICAID	FLORIDA
2	6261850001	MEDICARE NSC	FLORIDA
3	21518	MEDICARE PIN	FLORIDA
4	21518	OTHER	FLORIDA	BCBS PROVIDER NUMBER
5	2900100538	OTHER	FLORIDA	MEDICARE RAILROAD

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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