Lakefront Medical Center PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0031947 Issued in FL

Legal business name

LAKEFRONT MEDICAL CENTER PA

Practice address

60 W Columbia St
Suite F
Orlando, FL 32806-1126

Phone

(407) 841-0084

Fax

(407) 423-4406

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Alan R Varraux, MDNPI 1841392263

Title

Physician/President

Phone

(407) 841-0084

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan Richard Varraux, MD

  • Specialist
  • Orlando, FL
  • NPI 1841392263
  NPD (past) Authorized official

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1417119223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W COLUMBIA ST",
            "address_2": "SUITE F",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061126",
            "telephone_number": "407-841-0084",
            "fax_number": "407-423-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W COLUMBIA ST",
            "address_2": "SUITE F",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061126",
            "telephone_number": "407-841-0084",
            "fax_number": "407-423-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEFRONT MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "VARRAUX",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "407-841-0084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0031947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joleen Marie Lake, A.P.R.N.
• Leah Lake, CERTIFIED NURSE ASSI
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• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.