Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Allergy, Asthma and Immunology, PA

Organization Allergy & Immunology Physician · NPI 1831682814

Lake Allergy, Asthma and Immunology, PA is an Allergy & Immunology Physician in Tavares, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1936 Salk Ave
Tavares, FL 32778-4310
Phone: (525) 531-7173
Fax: (888) 220-7924
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence ME118840 (FL)

Record details

NPI number1831682814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Cooke — President · (954) 609-0140
Other names Lake Allergy, Asthma And Immunology, Pa
NPI enumeratedJune 13, 2018
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing addressPo Box 987, Mount Dora, FL 32756-0987

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