FLORIDA LAKES SURGICAL PLLC (NPI# 1174727937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174727937 |
| Entity Type | Organization |
| Organization Name | FLORIDA LAKES SURGICAL PLLC |
| Practice Address |
4751 Lakeview Dr Sebring FL 33870-2064 |
| Practice Telephone | 8634025600 |
| Practice Fax Number | 8634025602 |
| Mailing Telephone | 8634025600 |
| Mailing Fax Number | 8634025602 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | DR. THOMAS C LACKEY II (OWNER) |
| Authorized Official Telephone | 86340265600 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 279537000 | 05 |
| Street Address |
4751 LAKEVIEW DR |
| City | SEBRING |
| State | FL |
| Zip Code | 33870-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205225398 | Your Health Group LLC | Home Health | 4751 Lakeview Dr, Suite A, Sebring, FL 33870-2064 | 2015-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
| 1407401177 | Divine Family Solutions, LLC | Home Health | 227 Us Hwy North, 221, Sebring, FL 33870 | 2019-08-08 |
| 1881179836 | Two Hearts Companion Homemaker Serv. | In Home Supportive Care | 3320 New York Ave, Sebring, FL 33870 | 2018-09-26 |
| 1144719154 | Hearing Healthcare Solutions Inc | Hearing Aid Equipment | 4206 Sebring Parkway, Sebring, FL 33870 | 2018-05-04 |
| 1093266017 | Choices Counseling Services, LLC | Counselor | 32313 Broadway Street Suite #306, Sebring, FL 33870 | 2016-10-14 |
| 1962959940 | Abundance, Mental Health Counseling LLC | Counselor | 32313 Broadway St, Suite 310, Sebring, FL 33870 | 2016-09-07 |
| 1205221470 | Newsom Surgery Center of Sebring LLC | Clinic/Center | 4211 Us Hwy 27 N, Sebring, FL 33870 | 2015-04-03 |
| 1063805612 | Art of Caring Home Care Services | Home Health | 113 W Center Ave, Sebring, FL 33870 | 2015-03-06 |
| 1508254228 | Lodin Health Imaging Inc | Clinic/Center | 114 -115 Medical Center Ave, Sebring, FL 33870 | 2015-01-05 |
| 1790180594 | Conrad Walters | Pharmacist | 3619 Us Hwy 27 N, Sebring, FL 33870 | 2014-10-23 |
| Find all providers in zip 33870 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487953428 | Sebring Hma Physician Management LLC | Surgery | 2401 Us 27 S, Sebring, FL 33870-4943 | 2011-03-16 |
| 1306050547 | Paramjeet Kaur | Surgery | 4301 Sun N Lake Blvd Ste 102, Sebring, FL 33872-2138 | 2007-05-09 |
| 1700992229 | Reynaldo L Descalso | Surgery | 4143 Sun N Lake Blvd, Sebring, FL 33872-2131 | 2006-08-21 |
| 1508971144 | Sameh Lewis Atalla | Surgery | 4301 Sun N Lake Blvd Ste 103, Sebring, FL 33872-2138 | 2006-08-21 |
| 1376558080 | Albert Joseph Bajohr Jr. | Surgery | 105 Medical Center Ave, Sebring, FL 33870 | 2006-07-30 |
| 1427091073 | Stewart Allen Skipper | Surgery | 4301 Sun N Lake Blvd, Suite 103, Sebring, FL 33872-2162 | 2006-06-13 |
| 1114987641 | Clyde Calenso Vanterpool | Surgery | 4325 Sun N Lake Blvd Ste 103, Sebring, FL 33872-2171 | 2006-03-27 |
| 1700846789 | Douglas Willis Sanders | Surgery | 3435 S Highlands Ave, Sebring, FL 33870-5408 | 2006-03-24 |
| 1396720470 | Michael B Saaka | Surgery | 3425 S Highlands Ave, Sebring, FL 33870-5408 | 2005-12-12 |
| 1235138983 | Gregg Ian Shore | Surgery | 4759 Lakeview Dr, Ste 101, Sebring, FL 33870-2005 | 2005-07-15 |
| Find all providers in SEBRING | ||||
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| 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.