Florida Lakes Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

FLORIDA LAKES ANESTHESIA LLC

Practice address

4759 Lakeview Dr
Sebring, FL 33870-2005

Phone

(863) 402-5600

Fax

(863) 402-5602

NPI assigned

Sep 22, 2022

Last updated

Sep 22, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Lackey II, DONPI 1114955598

Title

Owner

Phone

(863) 402-5600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas C. Lackey II, D. O.

  • Surgery Physician
  • Sebring, FL
  • NPI 1114955598
  NPD (past) Authorized official
• Rachel Sims, APRN

  • Nurse Practitioner
  • Sebring, FL
  • NPI 1629592134
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1023731239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 LAKEVIEW DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702005",
            "telephone_number": "863-402-5600",
            "fax_number": "863-402-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 LAKEVIEW DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702005",
            "telephone_number": "863-402-5600",
            "fax_number": "863-402-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA LAKES ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-402-5600",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Em-I Medical Services PA
• Florida Em-I Medical Services, PA
• Florida ENT Associates, Inc. (South Florida ENT Associates, Inc.)
• Florida Injury Chiropractic LLC
• Florida Joint & Spine Institute PA
• Florida Lakes Surgical PLLC
• Florida Physicians Medical Group (Highlands Surgical Associates)
• Florida Radiology Management LLC
• Florida Rheumatology Associates Inc
• Florida Senior Living, LLC (Palms Home Care)

• Anesthesiology Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.