Local City Search for Nurses, Advanced Nurse Practitioners, Physician Assistants and Care FacilitiesLAKE 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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1876 NIGHTINGALE LN TAVARES, FL 32778 US
Tel: 352-742-4447 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 364SC0200X | Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Critical Care Medicine | FL | ARNP9218919 |
| N | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | FL | ARNP9218919 |
| N | 207RS0012X | Physicians Internal Medicine | ||
| N | 207RC0200X | Physicians Internal Medicine | ||
| Y | 207RP1001X | Physicians Internal Medicine |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 254399100 | FL | 05 | |
| BCBS PROVIDER NUMBER | 21518 | FL | 01 |
| MEDICARE RAILROAD | 2900100538 | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
