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

Lake Shore Hma Medical Group LLC

Organization Anesthesiology Physician · NPI 1215256458

Lake Shore Hma Medical Group LLC is an Anesthesiology Physician in Lake City, Florida. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
9
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

348 NE Methodist Ter Ste 104
Lake City, FL 32055-3408
Phone: (386) 292-8024
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Anesthesiology Physician Taxonomy 207L00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatrics Physician Taxonomy 208000000X
Nurse Practitioner Taxonomy 363L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1215256458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wright — Vp Physician Business Services · (615) 778-1502
NPI enumeratedMay 27, 2010
Last updated in NPPESMay 15, 2019
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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