OrganizationActive
Lake Surgical Clinic PA
NPI 1114105442 · Specialist · Leesburg, FL
Lake Surgical Clinic PA is a Specialist organization in Leesburg, FL (NPI 1114105442).
Provider details
- NPI number
- 1114105442
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- David Burnsed, Owner(352) 787-8230
- License
- ME16817 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 W Dixie Ave
Leesburg, FL 34748-6386
Phone: (352) 787-8230
Fax: (352) 787-6964
Street-level locationGet directions
Mailing address
1111 W Dixie Ave
Leesburg, FL 34748-6386
Registry dates
- Enumerated
- 2008-02-08
- Last updated
- 2010-08-17
Frequently asked questions
- What is Lake Surgical Clinic PA's NPI number?
- Lake Surgical Clinic PA's National Provider Identifier (NPI) is 1114105442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Surgical Clinic PA?
- Lake Surgical Clinic PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lake Surgical Clinic PA located?
- Lake Surgical Clinic PA's practice location on file with NPPES is 1111 W Dixie Ave, Leesburg, FL 34748-6386.
- What is Lake Surgical Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Lake Surgical Clinic PA is (352) 787-8230.
- Who is the authorized official for Lake Surgical Clinic PA?
- The authorized official listed on Lake Surgical Clinic PA's NPPES record is David Burnsed, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Surgical Clinic PA's NPI active?
- Yes — Lake Surgical Clinic PA's NPI (1114105442) is active in the NPPES registry as of the last update on 2010-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.