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

South Lake Anesthesia Services, PA

Organization Anesthesiology Physician · NPI 1346255056

South Lake Anesthesia Services, PA is an Anesthesiology Physician in Clermont, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone: (352) 243-9114
Fax: (352) 243-7822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Anesthesiology Physician Taxonomy 207L00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X (FL)

Record details

NPI number1346255056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Ghivizzani — Owner · (352) 243-9114
NPI enumeratedJuly 30, 2006
Last updated in NPPESDecember 9, 2011
Mailing addressPo Box 100024, Atlanta, GA 30348-0024

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