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

Lakeside Anesthesia Group LLC

Organization Anesthesiology Physician · NPI 1043063068

Lakeside Anesthesia Group LLC is an Anesthesiology Physician in Jacksonville, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

9143 Philips Hwy Ste 515
Jacksonville, FL 32256-1335
Phone: (904) 395-4840
Fax: (904) 306-1351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1043063068
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Weaver — Manager · (904) 395-7772
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address3020 Hartley Rd Ste 210, Jacksonville, FL 32257-8206

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