Lake Allergy, Asthma and Immunology, PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME118840 Issued in FL

Legal business name

LAKE ALLERGY, ASTHMA AND IMMUNOLOGY, PA

Practice address

1936 Salk Ave
Tavares, FL 32778-4310

Phone

(525) 531-7173

Fax

(888) 220-7924

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Andrew J Cooke, MDNPI 1477852689

Title

President

Phone

(954) 609-0140

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake Allergy, Asthma and Immunology, PA Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBHFBD

Practitioners 1

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

• Andrew John Cooke, M.D.

  • Allergy & Immunology Physician
  • Tavares, FL
  • NPI 1477852689
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1831682814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327560987",
            "telephone_number": "954-609-0140",
            "fax_number": "888-220-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 SALK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784310",
            "telephone_number": "525-531-7173",
            "fax_number": "888-220-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ALLERGY, ASTHMA AND IMMUNOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-609-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME118840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G0U6",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Allergy, Asthma and Immunology, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vikas Kumar, MD
• Prabhakara Kunamneni, MD
• Kenneth M Kupke, M.D.
• Danielle Helene Labossiere
• Robert William Ladley, DMD
• Lake Anesthesia Care LLC
• Lake County Board of County Commissioners
• Lake County Hearing Clinic Inc
• Lake County Oncology and Hematology
• Lake County Schools

• Allergy & Immunology Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.