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

Lettuce Lake Emergency Physicians LLC

Organization Emergency Medicine Physician · NPI 1699293225

Lettuce Lake Emergency Physicians LLC is an Emergency Medicine Physician in Lutz, Florida. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
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

1430 Dale Mabry Hwy
Lutz, FL 33548
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5234 E Fowler Ave, Temple Terrace, FL 33617 — (469) 401-2386

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1699293225
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (973) 251-1132
NPI enumeratedSeptember 4, 2017
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing address13737 Noel Road 1600, Dallas, TX 75240

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