Lake Surgical Clinic PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME16817 Issued in FL

Legal business name

LAKE SURGICAL CLINIC PA

Practice address

1111 W Dixie Ave
Leesburg, FL 34748-6386

Phone

(352) 787-8230

Fax

(352) 787-6964

NPI assigned

Feb 8, 2008

Last updated

Aug 17, 2010By 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

Dr. David W Burnsed, M.D.

Title

Owner

Phone

(352) 787-8230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1114105442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486386",
            "telephone_number": "352-787-8230",
            "fax_number": "352-787-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486386",
            "telephone_number": "352-787-8230",
            "fax_number": "352-787-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SURGICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "BURNSED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-787-8230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME16817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Neurodiversity, LLC
• Lake Neurology Clinic, P.a.
• Lake Pulmonary & Sleep Disorders Clinic P.a.
• Lake Square Chiropractic, P.a.
• Lake Surgery & Endoscopy Center LTD
• Lake Urology Clinic
• Lakeview Healthcare System, LLC (Lakeview Internal Medicine, PA)
• Lakeview Internal Medicine P.a.
• Cathy Lambert, LCSW
• Meghan Cary Lamm, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.