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 1548921034

Lake Oliver Emergency Group, LLC is an Emergency Medicine Physician in Tallahassee, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

2674 Capital Cir SE
Tallahassee, FL 32311-7802
Phone: (850) 404-5800
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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 number1548921034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vp Of Contracting · (337) 609-1221
Other names Capital Regional Medical Center Southwood Er; Capital Regional Medical Center Southwood Er
NPI enumeratedJanuary 6, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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