Organization
LAKE PULMONARY CRITICAL CARE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA LYNN BARBER (OPERATIONS MANAGER)
(352) 742-4631
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
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
ARNP9218919
FL
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
ARNP9218919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21518
BCBS PROVIDER NUMBER
FL
05
—
254399100
—
FL
01
—
2900100538
MEDICARE RAILROAD
FL
Enumeration date
11/10/2005
Last updated
01/13/2011
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