SUN 'N LAKE MEDICAL GROUP,PA
NPI 1144400540
Clinic/Center - Rural Health in Lake Placid, FL

Active since November 14, 2007CLIA 10D1018920 · Waiver
511 W INTERLAKE BLVD, LAKE PLACID, FL 33852(863) 699-1220(863) 699-1811 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sun 'n Lake Medical Group,pa NPPES

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

SUN 'N LAKE MEDICAL GROUP,PA (NPI 1144400540) is a healthcare organization registered as a rural health in Lake Placid, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Raisa Camilo, Owner, as its authorized official.

NPPES Registry Identity

NPI1144400540
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSUN 'N LAKE MEDICAL GROUP,PA
Location Address511 W INTERLAKE BLVDLake Placid, FL 33852-0703
Mailing Address511 W Interlake BlvdLake Placid, FL 33852-0703 · (863) 699-1220 · Fax (863) 699-1811
Fax(863) 699-1811
Organization SubpartNo
Authorized OfficialRaisa CamiloOwner · (863) 385-2659
Enumeration DateNovember 14, 2007
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1144400540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in FL · ME61030
511 W INTERLAKE BLVD, Lake Placid, FL 33852

Other Identifiers 5

OtherME61030FL · Medical License
Other23511FL · Bcbs
Other160064FL · Healthese
Other220402FL · Healthese
Medicaid373302500FL

Accepted 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 10D1018920

Sun N Lake Medical Group · Lake Placid, FL
Active · expires Nov 4, 2027
CLIA Number10D1018920
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorRaisa D. Camilo
Laboratory Phone(863) 385-2659
Laboratory LocationSun N Lake Medical Group511 W Interlake Blvd, Lake Placid, FL 33852
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sun 'n Lake Medical Group,pa's NPI number?

The NPI number for Sun 'n Lake Medical Group,pa is 1144400540. It was assigned to this organization in the NPPES registry on November 14, 2007.

Where is Sun 'n Lake Medical Group,pa located?

Sun 'n Lake Medical Group,pa is located at 511 W Interlake Blvd, Lake Placid, FL 33852. The listed phone number is (863) 699-1220.

What is Sun 'n Lake Medical Group,pa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Sun 'n Lake Medical Group,pa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1018920) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sun 'n Lake Medical Group,pa accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sun 'n Lake Medical Group,pa 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 Sun 'n Lake Medical Group,pa was last updated on October 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.