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

Lake Endocrinology and Diabetes, PLLC

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1619418563

Lake Endocrinology and Diabetes, PLLC is an Endocrinology, Diabetes & Metabolism Physician in Largo, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13123 66th St
Largo, FL 33773-1812
Phone: (727) 477-1039
Fax: (727) 477-0498
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence OS9591 (FL)

Record details

NPI number1619418563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Lake — Ambr · (727) 477-1039
Other names Lake Endocrinology Consulting, Pllc
NPI enumeratedMarch 12, 2017
Last updated in NPPESMay 2, 2021
Certification dateMay 2, 2021
Mailing address13123 66th St, Largo, FL 33773-1812

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