LAKE CENTER OF H.O.P.E., PA (NPI# 1366647802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366647802 |
| Entity Type | Organization |
| Organization Name | LAKE CENTER OF H.O.P.E., PA |
| Other Organization Name | NICK M UNGSON, .M.D., PA |
| Practice Address |
33057 Professional Drive Suite 102 Leesburg FL 34788 |
| Mailing Address |
33057 Professional Drive Suite 102 Leesburg FL 34788-7507 |
| Practice Telephone | 3527870081 |
| Practice Fax Number | 3523149444 |
| Mailing Telephone | 3527870081 |
| Mailing Fax Number | 3523149444 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2013-10-21 |
| Authorized Official Name | MRS. LOURDES NICOLAS UNGSON (SECRETARY TREASURER) |
| Authorized Official Telephone | 3527870081 |
| Authorized Official Credential | OFFICE MANAGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 75000006578 | FL | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Nick M Ungson, .M.D., PA | Other Name - Individual/Organization |
| Street Address |
33057 PROFESSIONAL DRIVE SUITE 102 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
| 1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
| 1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
| 1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
| 1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
| 1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
| 1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
| 1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
| 1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
| 1255376778 | Kenneth A. Henschel | Psychiatry & Neurology | 10123 Us Highway 441, Leesburg, FL 34788 | 2006-06-18 |
| Find all providers in zip 34788 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1972061679 | Interventional Associates of Leesburg, LLC | Specialist | 106 W North Blvd Ste 102, Leesburg, FL 34748-5039 | 2019-03-12 |
| 1063967149 | Tri-county Heart Institute Pa | Specialist | 5545 Windsong Oak Dr, Leesburg, FL 34748-7788 | 2016-08-18 |
| 1184093577 | Breast Reconstruction Specialists LLC | Specialist | 224-cornwall Street, Nw, Suite 300, Leesburg, VA 20176-2704 | 2015-09-16 |
| 1649592460 | Allison T. Shorb | Specialist | 217 S King St, Leesburg, VA 20175-2905 | 2010-02-20 |
| 1578899555 | William Barton Mahan | Specialist | 10601 Us Highway 441 Ste E1, Leesburg, FL 34788-7240 | 2009-10-26 |
| 1255527719 | Eze D. Uche, M.d., Pa | Specialist | 4646 Via Del Medico, Leesburg, FL 34748-6995 | 2007-09-19 |
| 1083742571 | Hear Care Inc | Specialist | 1108 W Dixie Ave, Leesburg, FL 34748-6312 | 2007-02-28 |
| 1700958600 | Lake Neurology Clinic, P.a. | Specialist | 608 S 9th Street, Ste A, Leesburg, FL 34748 | 2006-11-15 |
| 1134238140 | Pascual Herrera Jr. | Specialist | 215 Industrial Blouvard, Leesburg, AL 35983 | 2006-08-30 |
| 1578676953 | Alex Marin Uson | Specialist | 1039 W Dixie Ave, Leesburg, FL 34748-6349 | 2006-08-17 |
| Find all providers in LEESBURG | ||||
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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.