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

Alexander David Lake, DO

Individual provider Internal Medicine Physician · NPI 1720575418

Alexander David Lake, DO is a Gastroenterology in Temple Terrace, Florida. Qualified in 2018, 8 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone: (813) 779-6303
Fax: (786) 868-0012
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence OS16856 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence OS16856 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence OS16856 (FL)

Record details

NPI number1720575418
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 18, 2018
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address13067 N Telecom Pkwy, Temple Terrace, FL 33637-0926

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesHOSPITALIST, INTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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