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

Park Lake Physical Medicine, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1669749396

Park Lake Physical Medicine, LLC is a Physical Medicine & Rehabilitation Physician in Orlando, Florida. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2206 E Colonial Dr
Orlando, FL 32803-4912
Phone: (407) 839-1045
Fax: (407) 839-1044
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1669749396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelby Reid — Manager · (407) 839-1045
Other names Integrative Physical Medicine
NPI enumeratedNovember 23, 2011
Last updated in NPPESMarch 19, 2014
Mailing address2206 E Colonial Dr, Orlando, FL 32803-4912

Other providers in Orlando