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 1942367370

Lake Pediatrics P. A. is a Pediatrics Physician in Mount Dora, Florida. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

4880 N Highway 19A Ste 200
Mount Dora, FL 32757-2018
Phone: (352) 589-8111
Fax: (352) 589-8111
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1942367370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Nettles — Billing Manager · (523) 638-4997
Other names Lake Pediatrics, P.A.
NPI enumeratedJanuary 3, 2007
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address4880 N Hwy 19 A, Mt Dora, FL 32757-2018

Other providers in Mount Dora