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Contact Information

LAKE PULMONARY CRITICAL CARE P A
1876 NIGHTINGALE LN
TAVARES, FL32778-4359
 Phone: 352-742-4447
 Fax: 352-742-4448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Critical Care Medicine

364SC0200X 89 Certified Clinical Nurse Specialist
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LAKE PULMONARY CRITICAL CARE P A · (Female)

NPI # 1851372494
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2005
Last updated 01/13/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ARNP9218919
  • FL Medicaid 254399100
  • FL Other 21518 BCBS PROVIDER NUMBER
  • FL Other 2900100538 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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