Lake Pediatrics P. A. in Mt Dora - Rural Health
Lake Pediatrics P. A. - NPI 1942367370
Lake Pediatrics P. A. is a Rural Health in Mt Dora, Florida. Lake Pediatrics P. A. practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Lake Pediatrics P. A. is 1942367370. The last update date is 2022-01-11.
Lake Pediatrics P. A.'s current location address is 4880 N Hwy 19 A, Mt Dora, Florida. You can contact this provider via phone number 3525898111 and fax number 3525898495. The mailing address for Lake Pediatrics P. A. is 4880 N Hwy 19 A, Mt Dora, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Pediatrics P. A. |
|---|---|
| Address | 4880 N Hwy 19 A, Mt Dora, Florida |
| Phone Number | 3525898111 |
| Fax Number | 3525898495 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING MA |
|---|---|
| Authorized Official Name | Nettles Lynn Donna |
| Telephone Number | 5236384997 |
NPI Number Detail
| NPI Number | 1942367370 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2022-01-11 |
Provider Mailing Address Detail
| Address | 4880 N Hwy 19 A |
|---|---|
| City | Mt Dora |
| State | Florida (FL) |
| Post Code | 327572018 |
| Phone Number | 3525898111 |
| Fax Number | 3525898495 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 660103100 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lake Pediatrics P. A. by the Centers for Medicare & Medicaid Services?
The Lake Pediatrics P. A. has been issued the NPI (National Provider Identifier) 1942367370, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lake Pediatrics P. A. located?
The Lake Pediatrics P. A. is located at 4880 N Hwy 19 A, Mt Dora, FL 327572018.
What is Lake Pediatrics P. A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lake Pediatrics P. A. is Rural Health, and the taxonomy code that classifies this field of practice is 261Qr1300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942367370 to Lake Pediatrics P. A.?
The Lake Pediatrics P. A. received its 1942367370 assignment from the Centers for Medicare & Medicaid Services on 2007-01-03.
As of what date were the details related to Lake Pediatrics P. A. most recently updated or revised?
The information pertaining to Lake Pediatrics P. A., including its address, specialty, and other relevant details, was last updated or revised on 2022-01-11.
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