Organization
LAKE PULMONARY CRITICAL CARE
Active
Parent organization
LAKE PULMONARY CRITICAL CARE
Other names
Lake Sidesleep Supplies
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE PULMONARY CRITICAL CARE
Authorized official
DR. FRANK JOSE MONTOYA MD (OWNER)
(352) 742-4447
Entity
Organization
Contact information
Practice address
1876 NIGHTINGALE LN, TAVARES, FL 32778-4359
(352) 742-4447
(352) 742-4448
Mailing address
1876 NIGHTINGALE LN, TAVARES, FL 32778-4359
(352) 742-4447
(352) 742-4448
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
01/13/2011
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