Lake Anesthesia Care LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME63590 Issued in FL

Legal business name

LAKE ANESTHESIA CARE LLC

Practice address

2130 Vindale Rd
Tavares, FL 32778-5637

Phone

(353) 383-7777

Fax

(352) 383-8875

NPI assigned

Apr 8, 2010

Last updated

Apr 8, 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. Lalbahadur S Nagabhairu, M.D.

Title

Medical Director

Phone

(352) 636-6969

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1215253802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 N DONNELLY ST",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572824",
            "telephone_number": "352-383-7777",
            "fax_number": "352-383-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 VINDALE RD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785637",
            "telephone_number": "353-383-7777",
            "fax_number": "352-383-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ANESTHESIA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "NAGABHAIRU",
        "authorized_official_first_name": "LALBAHADUR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-636-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME63590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prabhakara Kunamneni, MD
• Kenneth M Kupke, M.D.
• Danielle Helene Labossiere
• Robert William Ladley, DMD
• Lake Allergy, Asthma and Immunology, PA
• Lake County Board of County Commissioners
• Lake County Hearing Clinic Inc
• Lake County Oncology and Hematology
• Lake County Schools
• Lake County Schools

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.