Active NPI
Lake Pulmonary Critical Care
- Durable Medical Equipment & Medical Supplies
- Tavares, FL
National Provider Identifier
1184850802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LAKE PULMONARY CRITICAL CARE
- Practice address
- 1876 Nightingale LN
Tavares, FL 32778-4359 - Phone
- (352) 742-4447
- Fax
- (352) 742-4448
- NPI assigned
- Jun 9, 2009
- Organization subpart
- Yes
- Parent organization
- LAKE PULMONARY CRITICAL CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank Jose Montoya, MD
- Title
- Owner
- Phone
- (352) 742-4447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1876 Nightingale LN
Tavares, FL 32778-4359
Mailing address
1876 Nightingale LN
Tavares, FL 32778-4359
Phone (352) 742-4447
Other names 1
- Lake Sidesleep Supplies
National Provider Directory
National Provider Directory- Part of
- Lake Pulmonary Critical Care P a
Locations
1824 Salk Ave
Ste A
Tavares, FL 32778
Phone (352) 343-9943
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pulmonary Disease Physician
- Tavares, FL
- NPI 1396759023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294876800000",
"number": "1184850802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1876 NIGHTINGALE LN",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784359",
"telephone_number": "352-742-4447",
"fax_number": "352-742-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1876 NIGHTINGALE LN",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784359",
"telephone_number": "352-742-4447",
"fax_number": "352-742-4448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE PULMONARY CRITICAL CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAKE PULMONARY CRITICAL CARE",
"enumeration_date": "2009-06-09",
"last_updated": "2011-01-13",
"status": "A",
"authorized_official_last_name": "MONTOYA",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "JOSE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-742-4447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake Sidesleep Supplies",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.