OrganizationActive
Lake Pediatrics P. A.
NPI 1518631811 · Pediatrics Physician · Mount Dora, FL
Lake Pediatrics P. A. is a Pediatrics Physician organization in Mount Dora, FL (NPI 1518631811).
Provider details
- NPI number
- 1518631811
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donna Nettles, Billing Manager(352) 638-4997
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4880 N Highway 19a
Mount Dora, FL 32757-2018
Phone: (352) 589-8111
Fax: (352) 589-8495
Street-level locationGet directions
Mailing address
4880 N Highway 19a
Mount Dora, FL 32757-2018
Other names (DBA / former)
- Doing business as
- Lake Pediatrics P.A.
Registry dates
- Enumerated
- 2021-08-02
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Frequently asked questions
- What is Lake Pediatrics P. A.'s NPI number?
- Lake Pediatrics P. A.'s National Provider Identifier (NPI) is 1518631811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Pediatrics P. A.?
- Lake Pediatrics P. A. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Pediatrics P. A. located?
- Lake Pediatrics P. A.'s practice location on file with NPPES is 4880 N Highway 19a, Mount Dora, FL 32757-2018.
- What is Lake Pediatrics P. A.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Pediatrics P. A. is (352) 589-8111.
- Who is the authorized official for Lake Pediatrics P. A.?
- The authorized official listed on Lake Pediatrics P. A.'s NPPES record is Donna Nettles, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Pediatrics P. A.'s NPI active?
- Yes — Lake Pediatrics P. A.'s NPI (1518631811) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.