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

Lake ENT & Fps, PA

Organization Specialist · NPI 1629091996

Lake ENT & Fps, PA is a Specialist in Leesburg, Florida. Registered with an NPI since 2006.

In the registry since
2006
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

601 E Dixie Ave Plaza 901
Leesburg, FL 34748-5953
Phone: (352) 728-2404
Fax: (352) 787-7401
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1629091996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judith Milstead — President · (352) 728-2404
Other names Lake Ear, Nose Throat And Facial Plastic Surgery Associates
NPI enumeratedJuly 26, 2006
Last updated in NPPESOctober 2, 2020
Certification dateOctober 2, 2020
Mailing address601 E Dixie Ave, Plaza 901, Leesburg, FL 34748-5953

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