Lake Arthritis Center P a

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

LAKE ARTHRITIS CENTER P A

Practice address

33025 Professional Drive
Leesburg, FL 34788

Phone

(352) 314-2999

Fax

(352) 314-2666

NPI assigned

Aug 31, 2006

Last updated

Jun 8, 2009By 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

Miguel A Gonzales, MD

Title

Owner

Phone

(352) 314-2999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miguel A Gonzalez, MD

  • Rheumatology Physician
  • Leesburg, FL
  • NPI 1033220744
  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1386755098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491300",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347491300",
            "telephone_number": "352-314-2999",
            "fax_number": "352-314-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33025 PROFESSIONAL DRIVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34788",
            "telephone_number": "352-314-2999",
            "fax_number": "352-314-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ARTHRITIS CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-314-2999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen G Kuperberg, A.R.N.P.
• Karlton Jiang Teim Kwan, D.C.
• Jennifer A Kyle, PTA
• Omar Lababidi, DMD
• Jeanne Ruelo Labasbas, P.T.
• Lake Cancer & Hematology PA
• Lake Cancer Medical Center PA
• Lake Center of H.O.P.E., PA
• Lake Centre Home Care LLC
• Lake Centre Home Care, LLC

• Rheumatology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.