Lake Sumpter Orthopedic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LAKE SUMPTER ORTHOPEDIC

Practice address

3900 Lake Center Dr Ste A2
Mount Dora, FL 32757-2203

Phone

(772) 245-8397

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Laura Beatty

Title

Practice Manager

Phone

(772) 245-8397

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1356832190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 SE BRIDGE RD",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555312",
            "telephone_number": "772-245-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LAKE CENTER DR STE A2",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572203",
            "telephone_number": "772-245-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUMPTER ORTHOPEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "772-245-8397"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Cardiology PA
• Lake County Adult Activity Center Inc
• Lake Emergency Medical Services, Inc.
• Lake Pediatrics P. a.
• Lake Pediatrics P. a.
• Lake-Sumter Emergency Medical Services
• Lakeside Family Medicine, P.a.
• Lakeview Internal Medicine P a
• Lillian Lam
• Alyssa Landry, LMFT, LMHC

• Clinic/Center in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.