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LAWRENCE D SPACK MD
NPI 1043327752
Pediatrics - Pediatric Critical Care Medicine in Orlando, FL

Active since August 25, 2006PECOS Enrolled
92 W MILLER ST, ORLANDO, FL 32806(321) 841-5104(321) 841-6871 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lawrence D Spack Md NPPES

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

LAWRENCE D SPACK MD (NPI 1043327752) is an individual pediatric critical care medicine provider in Orlando, Florida, licensed in Florida (ME74105) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1043327752
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameLAWRENCE D SPACKCredential: MD
Location Address92 W MILLER STOrlando, FL 32806-2032
Mailing Address92 W Miller StOrlando, FL 32806-2032 · (321) 841-5104 · Fax (321) 841-6871
Phone(321) 841-5104
Fax(321) 841-6871
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 23, 2024
NPPES CertifiedAugust 23, 2024
✔ NPI 1043327752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in FL · ME74105
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
92 W MILLER ST, Orlando, FL 32806
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Secondary Practice Location 1

Location 11033 Dr Martin Luther King Jr St N, Suite 108St Petersburg, FL 33701-1547 · Phone (727) 456-4250 · Fax (727) 346-1044

Other Identifiers 1

Medicaid253085600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lawrence D Spack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lawrence Spack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orlando Health Medical Group Inc
0.2 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

KELLI BUNN FLETCHER ARNP
Nurse Practitioner (Pediatrics)
92 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 841-5104
MARY FARRELL MD
Pediatrics (Pediatric Critical Care Medicine)
92 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 841-5104
KEVIN M BEERS DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
92 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 841-6128
DR. KARL NEVALA DO
Student in an Organized Health Care Education/Training Program
92 W MILLER ST
ORLANDO, FL 32806
Orange County (407) 649-6876
DR. HARDEO KARAMCHAND PANCHOOSINGH MD
Pediatrics (Pediatric Hematology-Oncology)
92 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 841-8588
MARNIE B ROBINSON M.D.
Anesthesiology (Pediatric Anesthesiology)
92 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 841-4607
MARYBETH ARCEO BURRISS-WEST
Pediatrics (Pediatric Critical Care Medicine)
92 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 841-5104
TYLER JUHAN CRNA
Nurse Anesthetist, Certified Registered
92 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 841-4607

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 Lawrence Spack's NPI number?

The NPI number for Lawrence Spack is 1043327752. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Lawrence Spack located?

Lawrence Spack practices at 92 W Miller St, Orlando, FL 32806. The listed phone number is (321) 841-5104.

What is Lawrence Spack's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Lawrence Spack enrolled in Medicare?

Yes. Lawrence Spack is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lawrence Spack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Spack reassigns Medicare benefits to Orlando Health Medical Group Inc (Orlando, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lawrence Spack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawrence Spack accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Lawrence Spack 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 Lawrence Spack was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.