Lakeside Surgery LTD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

LAKESIDE SURGERY LTD

Doing business as

Lakeside Surgery Center

Practice address

1825 N Mills Ave
Orlando, FL 32803

Phone

(407) 206-2375

Fax

(407) 206-2377

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Margie A Brill

Title

Administrator

Phone

(407) 206-2375

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lakeside Surgery Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Brock Magruder Jr., MD

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1932286416
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1043265739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "407-206-2375",
            "fax_number": "407-206-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "407-206-2375",
            "fax_number": "407-206-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-206-2375",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "288415",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97107",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakeside Med Supplies
• Lakeside Occupational Medical Centers, Inc.
• Lakeside Occupational Medical Centers, Inc.
• Lakeside of Orlando Inc
• Lakeside Surgery LLC (Lakeside Surgery Center)
• Lakeview Manor Assisted Living Facility
• Lakeview Manor Assisted Living Facility, Inc.
• Lakeview Surgery Center, LLC (Lakeview Surgery Center)
• Cristian Morgan Lallo
• Marla Laloo, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.