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Lake Pediatrics P. A.

Pediatrics Physician in Mount Dora, FL · enumerated 2021 · authorized official Donna Nettles, Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1518631811

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Pediatrics P. A.
Practice address 4880 N Highway 19a, Mount Dora, FL, 32757
Phone (352) 589-8111
Fax (352) 589-8495
Enumeration date Aug 2, 2021
Last updated in NPPES Oct 13, 2025

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Donna Nettles
Title Billing Manager
Phone (352) 638-4997

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Lake Pediatrics P. A.?
Lake Pediatrics P. A. is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-13.