Lakeview Specialist Group, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LAKEVIEW SPECIALIST GROUP, LLC

Practice address

10250 SE 167TH Place Rd Unit 5
Summerfield, FL 34491-8682

Phone

(352) 307-9925

NPI assigned

Sep 9, 2019

Organization subpart

No

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

Authorized official

Name

Khai Chang, MD

Title

Owner

Phone

(352) 307-9925

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1043869332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD UNIT 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD UNIT 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW SPECIALIST GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KHAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-307-9925",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Knight, CPCP, FAAM, COE. LME
• James M Krick, D.O.
• Yilian Y Laborde Chang, DMD
• Lake Endoscopy Center, LLC
• Lakeview Healthcare System, LLC
• Kimberly A Lancaster, OTR/L
• Lauro Garcia Lapuz, MD
• Hollis Larosa, COTA
• Tara Larramendy, APRN, FNP-C
• Jessica Lawrence, MOT, OTR/L

• Specialist in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.