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

Lake Oliver Emergency Group, LLC

Organization Emergency Medicine Physician · NPI 1013675016

Lake Oliver Emergency Group, LLC is an Emergency Medicine Physician in Tallahassee, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone: (850) 325-5000
Fax: (850) 656-5198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1013675016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vp Of Contracting · (337) 609-1221
NPI enumeratedDecember 7, 2021
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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