Organization Active NPI

Lake Pulmonary Critical Care

  • Durable Medical Equipment & Medical Supplies
  • Tavares, FL
National Provider Identifier
1184850802
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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 CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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)CodeLicenseStatePrimary
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 Other name

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.

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.

Verify at the official NPI Registry.