Active NPI
Lauren Ann Woomer, PA-C
- Physician Assistant
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9117443
- Practice address
- 19790 Wellen Park Blvd
Suite 201B
Venice, FL 34293 - Phone
- (941) 777-7771
- NPI assigned
- Feb 1, 2023
- Last updated
- Apr 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9117443 | FL | Primary |
Addresses
Primary practice location
19790 Wellen Park Blvd
Suite 201B
Venice, FL 34293
Mailing address
4759 Lakeview Dr Ste 101
Sebring, FL 33870-2064
Phone (863) 402-5600
Other practice location 1
9114 Town Center Pkwy Ste 101
Lakewood Ranch, FL 34202-5054
Phone (941) 866-8989
Other practice location 2
1217 Jacaranda Blvd
Venice, FL 34292-4520
Phone (941) 257-0765
Other practice location 3
9114 Town Center Pkwy Ste 101
Lakewood Ranch, FL 34202-5054
Phone (941) 866-8989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9117443 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Lakes Surgical PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Sebring, FL
- NPI 1174727937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1033815113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4759 LAKEVIEW DR STE 101",
"city": "SEBRING",
"state": "FL",
"postal_code": "338702064",
"telephone_number": "863-402-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19790 WELLEN PARK BLVD",
"address_2": "SUITE 201B",
"city": "VENICE",
"state": "FL",
"postal_code": "34293",
"telephone_number": "941-777-7771"
}
],
"practiceLocations": [
{
"address_1": "9114 Town Center Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Lakewood Ranch",
"state": "FL",
"postal_code": "342025054",
"country_code": "US",
"telephone_number": "941-866-8989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1217 Jacaranda Blvd",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342924520",
"country_code": "US",
"telephone_number": "941-257-0765",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9114 Town Center Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Lakewood Ranch",
"state": "FL",
"postal_code": "342025054",
"country_code": "US",
"telephone_number": "941-866-8989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOMER",
"first_name": "LAUREN",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-01",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.