Active NPI
Eladio Lao, MD
- Anesthesiology Physician
- Lake Placid, FL
National Provider Identifier
1821084013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME39195
- Practice address
- 1012 Hwy 27 N
Lake Placid, FL 33852 - Phone
- (863) 314-4466
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME39195 | FL | Primary |
Addresses
Primary practice location
1012 Hwy 27 N
Lake Placid, FL 33852
Mailing address
4519 George Rd
Ste. 100
Tampa, FL 33634-7329
Phone (813) 496-1075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199232000000",
"number": "1821084013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 GEORGE RD",
"address_2": "STE. 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336347329",
"telephone_number": "813-496-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 HWY 27 N",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "33852",
"telephone_number": "863-314-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAO",
"first_name": "ELADIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2008-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME39195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.