LETTUCE LAKE EMERGENCY PHYSICIANS LLC – NPI #1699293225
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

LETTUCE LAKE EMERGENCY PHYSICIANS LLC is a provider located in LUTZ, FL. NPPES has assigned the NPI number 1699293225 to LETTUCE LAKE EMERGENCY PHYSICIANS LLC on September 04, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 5 years ago on Dec 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LETTUCE LAKE EMERGENCY PHYSICIANS LLC below.

NPI Profile for
LETTUCE LAKE EMERGENCY PHYSICIANS LLC

NPI Number
1699293225
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LETTUCE LAKE EMERGENCY PHYSICIANS LLC
Primary location
1430 DALE MABRY HIGHWAY
LUTZ, FL 33548
Phone: (469) 401-2386 Fax:
1 Other location(s):
5234 E Fowler Ave
Temple Terrace, FL 33617
Phone: (469) 401-2386
Mailing address
13737 NOEL ROAD 1600
DALLAS, TX 75240
Phone: Fax:
Organization Subpart
No
Authorized Official
KATHY KONDAS
OFFICER
Phone: (973) 251-1132
Updated
Certification Date
Dec 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.