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LAKE PULMONARY CRITICAL CARE P A

Nursing Yellow Pages

Tavares, Florida

Provider NPI: 1851372494

Organization Information:
Organization Name:  LAKE PULMONARY CRITICAL CARE P A


Practice Location:
1876 NIGHTINGALE LN  TAVARES, FL 32778 US
Tel: 352-742-4447  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N364SC0200XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
Critical Care Medicine
FLARNP9218919
N363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLARNP9218919
N207RS0012XPhysicians
Internal Medicine
N207RC0200XPhysicians
Internal Medicine
Y207RP1001XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType
254399100FL05
BCBS PROVIDER NUMBER21518FL01
MEDICARE RAILROAD2900100538FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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