Lake Pediatrics P. A.
NPI #1518631811 in Mount Dora, Florida
Provider Information
- NPI Number
- 1518631811
- Entity Type
- Organization
- Organization Name
- Lake Pediatrics P. A.
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 2, 2021
- Last Updated
- Oct 13, 2025
Practice Location
- Address
- 4880 N HIGHWAY 19A
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-2018
- Phone
- (352) 589-8111
Authorized Official
- Name
- DONNA LYNN NETTLES
- Title
- BILLING MANAGER
- Phone
- (352) 638-4997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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