SOUTH LAKE PAIN INSTITUTE, INC
NPI 1033121546
Specialist in Clermont, FL

Q: What is South Lake Pain Institute, Inc's NPI number?

The NPI number for South Lake Pain Institute, Inc is 1033121546. It was assigned to this organization in the NPPES registry on August 13, 2006. The provider was formerly known as South Lake Pain Institute, PA.

Q: What is South Lake Pain Institute, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 13, 2006CLIA 10D1075893 · Waiver

2440 HOOKS STREET, CLERMONT, FL 34711(352) 394-0833(352) 394-0367 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 8, 2019, Nov 17, 2016 (2 updates tracked since 2016).

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About South Lake Pain Institute, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH LAKE PAIN INSTITUTE, INC (NPI 1033121546), doing business as South Lake Pain Institute, Pa, is a healthcare organization registered as a specialist in Clermont, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Samildre Pacheco, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1033121546

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTH LAKE PAIN INSTITUTE, INC

Location Address2440 HOOKS STREETClermont, FL 34711

Mailing Address2440 Hooks StreetClermont, FL 34711 · (352) 394-0833 · Fax (352) 394-0367

Phone(352) 394-0833

Fax(352) 394-0367

Organization SubpartNo

Authorized OfficialSamildre PachecoPractice Administrator · (352) 394-0833

Enumeration DateAugust 13, 2006

Last NPPES UpdateOctober 8, 20192 updates tracked since enumeration

✔ NPI 1033121546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · OS8836

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2440 HOOKS STREET, Clermont, FL 34711

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Other Names 2

Former Legal Business NameSouth Lake Pain Institute, Pa

Doing Business AsSouth Lake Pain Institute, Inc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1075893

South Lake Pain Institute Inc · Clermont, FL

Active · expires Oct 30, 2027

CLIA Number10D1075893

Laboratory TypePhysician Office

Certificate Effective DateOctober 31, 2025

Certificate Expiration DateOctober 30, 2027

Laboratory DirectorAnthony Saranita

Laboratory Phone(352) 394-0833

Laboratory LocationSouth Lake Pain Institute Inc2440 Hooks St, Clermont, FL 34711

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JULIE SARANITA DO

Anesthesiology

2440 HOOKS STREET
CLERMONT, FL 34711

Lake County (352) 394-0833

S & P ANESTHESIA, LLC

Anesthesiology

2440 HOOKS STREET
CLERMONT, FL 34711

Lake County (352) 394-0833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Lake Pain Institute, Inc's NPI number?

The NPI number for South Lake Pain Institute, Inc is 1033121546. It was assigned to this organization in the NPPES registry on August 13, 2006. The provider was formerly known as South Lake Pain Institute, PA.

Where is South Lake Pain Institute, Inc located?

South Lake Pain Institute, Inc is located at 2440 Hooks Street, Clermont, FL 34711. The listed phone number is (352) 394-0833.

What is South Lake Pain Institute, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does South Lake Pain Institute, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1075893) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Lake Pain Institute, Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list South Lake Pain Institute, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Lake Pain Institute, Inc was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.