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

Lake Pediatrics P. A.

Organization Pediatrics Physician · NPI 1518631811

Lake Pediatrics P. A. is a Pediatrics Physician in Mount Dora, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4880 N Highway 19A
Mount Dora, FL 32757-2018
Phone: (352) 589-8111
Fax: (352) 589-8495
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1518631811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Nettles — Billing Manager · (352) 638-4997
Other names Lake Pediatrics P.A.
NPI enumeratedAugust 2, 2021
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address4880 N Highway 19a, Mount Dora, FL 32757-2018

Other providers in Mount Dora