LAKE ALLERGY, ASTHMA AND IMMUNOLOGY, PA


Address: 1822 Salk Ave, Tavares, FL 32778-4300
Phone: 9546090140

LAKE ALLERGY, ASTHMA AND IMMUNOLOGY, PA (NPI# 1831682814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831682814
Entity Type Organization
Organization Name LAKE ALLERGY, ASTHMA AND IMMUNOLOGY, PA
Other Organization Name LAKE ALLERGY, ASTHMA AND IMMUNOLOGY, PA
Practice Address 1822 Salk Ave
Tavares
FL 32778-4300
Practice Telephone 9546090140
Mailing Telephone 9546090140
Enumeration Date 2018-06-13
Last Update Date 2018-06-13
Authorized Official Name ANDREW J COOKE (PRESIDENT)
Authorized Official Telephone 9546090140
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology ME118840 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 207R00000X 05
FL 207K00000X 05

Other Provider/Organization Names

Other Name Type Code
Lake Allergy, Asthma and Immunology, PA Other Name - Individual/Organization

Office Location

Street Address 1822 SALK AVE
City TAVARES
State FL
Zip Code 32778-4300

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487173753 Erica Denise Irvin Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4681 Marsh Harbor Dr, Tavares, FL 32778 2017-09-18
1922522499 J&t Divine Care Home Health 1554 Auburn Hills Ct, Tavares, FL 32778 2017-07-27
1841738721 Kelli Maragh Behavior Technician 12237 Tavares Ridge Circle, Tavares, FL 32778 2017-02-10
1831633692 Amanda Williams Sellers Nurse Practitioner 1858 Mayo Dr, Tavares, FL 32778 2016-12-13
1235680042 Natalie Roaine Ash-maheux Occupational Therapist 4501 Waterman Way, Tavares, FL 32778 2016-10-17
1396295713 Sumiko Burley- Collins Community Health Worker 1572 Auburn Hills Court, Tavares, FL 32778 2016-10-10
1295100980 Sunshine Therapy Group, Pa Speech-Language Pathologist 2050 Classique Lane, Tavares, FL 32778 2015-12-06
1093188385 Jana Michelle England Counselor 1300 Duncan, Tavares, FL 32778 2015-11-09
1467865980 Reshma Balmick Hearing Instrument Specialist 500 West Burleigh Blvd., Tavares, FL 32778 2014-06-03
1861825739 Shelagh Kathryn Wood-gouveia Nurse Practitioner 1390 East Burleigh Blvd., Tavares, FL 32778 2013-08-15
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and state

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1700419876 North Star Allergy, Asthma, & Immunology, P.a. Allergy & Immunology 900 Carillon Pkwy Ste 301, St Petersburg, FL 33716-1115 2020-02-18
1528604253 Mark Minor Md Pa Allergy & Immunology 2290 W Eau Gallie Blvd Ste 205, Melbourne, FL 32935-3145 2019-11-18
1194366963 Ami Degala, Pllc Allergy & Immunology 40 Forest Ct, Palm Harbor, FL 34683-3811 2019-10-03
1407408586 Priya Ahya Allergy & Immunology 817 S University Dr Ste 106, Plantation, FL 33324-3345 2019-07-10
1770143729 Melissa Michelle Swertfeger Allergy & Immunology 6233 66th St N, Pinellas Park, FL 33781-5025 2019-06-20
1235612771 Luis Enrique Morera Allergy & Immunology 21150 Biscayne Blvd Ste 408, Aventura, FL 33180-1250 2018-09-11
1215417191 Allergy, Asthma and Immunology Specialists, LLC Allergy & Immunology 7100 Camino Real Ste 121, Boca Raton, FL 33433-5510 2018-08-20
1811475213 Juan Guillermo Angel Allergy & Immunology 11880 Sw 40th St Ste 304c, Miami, FL 33175-3574 2018-07-30
1194191346 Jo Ridley LLC Allergy & Immunology 16372 Hibiscus Rd, Brooksville, FL 34601-4352 2015-08-11
1477964195 Inessa Rachel Bachove Allergy & Immunology 3365 Burns Rd Ste 206, Palm Beach Gardens, FL 33410-4303 2014-05-15
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Competitor

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City TAVARES
Zip Code 32778

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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