# LAKE PULMONARY CRITICAL CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKE PULMONARY CRITICAL CARE
- **Other names:** Lake Sidesleep Supplies
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184850802
- **Legal business name:** LAKE PULMONARY CRITICAL CARE
- **Authorized official:** DR. FRANK JOSE MONTOYA MD (OWNER)
- **Authorized official phone:** (352) 742-4447

## Contact information

- **Practice address:** 1876 NIGHTINGALE LN, TAVARES, FL 32778-4359
- **Practice address phone:** (352) 742-4447
- **Practice address fax:** (352) 742-4448
- **Mailing address:** 1876 NIGHTINGALE LN, TAVARES, FL 32778-4359
- **Mailing address phone:** (352) 742-4447
- **Mailing address fax:** (352) 742-4448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2009
- **Last updated:** 01/13/2011