LAKE PULMONARY CRITICAL CARE P A

TAVARES, FL
NPI1851372494
Entity TypeOrganization
Authorized ContactJESSICA LYNN BARBER
Operations Manager
352-742-4631
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
Additional Taxonomies364SC0200X Clinical Nurse Specialist, Critical Care Medicine
(Licence: FL  ARNP9218919)
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  ARNP9218919)
207RS0012X Internal Medicine, Sleep Medicine
207RC0200X Internal Medicine, Critical Care Medicine
Enumeration Date2005-11-10
Last Update Date2011-01-13
Business Address
LAKE PULMONARY CRITICAL CARE P A
1876 NIGHTINGALE LN
TAVARES, FL 32778-4359
Phone number: 352-742-4447
Mailing Address
LAKE PULMONARY CRITICAL CARE P A
1876 NIGHTINGALE LN
TAVARES, FL 32778-4359
Phone number: 352-742-4447