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NPI Code Detail

MEDICARE: LAKE PULMONARY CRITICAL CARE P A

MEDICARE: LAKE PULMONARY CRITICAL CARE P A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SC0200XCritical Care Medicine Clinical Nurse SpecialistARNP9218919FL
2363LA2200XAdult Health Nurse PractitionerARNP9218919FL
3207RS0012XSleep Medicine (Internal Medicine) Physician
4207RC0200XCritical Care Medicine (Internal Medicine) Physician
5207RP1001XPulmonary Disease Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
32900100538OTHERFLMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
221518OTHERFLBCBS PROVIDER NUMBER

General Provider Information

NPI Number : 1851372494
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKE PULMONARY CRITICAL CARE P A
Provider Business Mailing Address
First Line : 1876 NIGHTINGALE LN
Second Line :
City : TAVARES
State : FL
Zip : 32778-4359
Country : US
Telephone Number : 352-742-4447
Fax Number : 352-742-4448
Provider Business Practice Location Address
First Line : 1876 NIGHTINGALE LN
Second Line :
City : TAVARES
State : FL
Zip : 32778-4359
Country : US
Telephone Number : 352-742-4447
Fax Number : 352-742-4448
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : MS. JESSICA LYNN BARBER
Credential :
Telephone Number : 352-742-4631
Provider Enumeration Date : 11/10/2005
Last Update Date : 01/13/2011

Similar Medicare Providers

1043205552 — ROSEMARY A CIRELLI MD
Practice Location Address:
1876 NIGHTINGALE LN
TAVARES, FL
32778-4359
Practice Phone: 352-742-4447
Practice Fax: 352-748-4448
1841285343 — FRANCISCO J MONTOYA MD
Practice Location Address:
1876 NIGHTINGALE LN
TAVARES, FL
32778-4359
Practice Phone: 352-742-4447
Practice Fax: 352-742-4448
1396759023 — LAKE PULMONARY CRITICAL CARE
Practice Location Address:
1876 NIGHTINGALE LN
TAVARES, FL
32778-4359
Practice Phone: 352-343-9943
Practice Fax: 352-343-0661
1679773725 — DR. ALAA G. ISKANDAR M.D.
Practice Location Address:
1876 NIGHTINGALE LN
TAVARES, FL
32778-4359
Practice Phone: 352-742-4447
Practice Fax: 352-742-4448
1265667331 — DR. ALBA DAMARIS RIVERA-DIAZ MD, LND
Practice Location Address:
1876 NIGHTINGALE LN
TAVARES, FL
32778-4359
Practice Phone: 352-742-4447
Practice Fax: 352-742-4447
1184850802 — LAKE PULMONARY CRITICAL CARE
Practice Location Address:
1876 NIGHTINGALE LN
TAVARES, FL
32778-4359
Practice Phone: 352-742-4447
Practice Fax: 352-742-4448

Directions to “LAKE PULMONARY CRITICAL CARE P A ” Practice Location

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