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FLORIDA LAKES SURGICAL PLLC
NPI 1174727937
Surgery in Sebring, FL

Active since June 13, 2007
4751 LAKEVIEW DR, SEBRING, FL 33870(863) 402-5600(863) 402-5602 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Florida Lakes Surgical Pllc NPPES

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

FLORIDA LAKES SURGICAL PLLC (NPI 1174727937) is a healthcare organization registered as a surgery in Sebring, Florida and active in the NPI registry since June 2007. The organization lists Thomas C Lackey, Owner, as its authorized official.

NPPES Registry Identity

NPI1174727937
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameFLORIDA LAKES SURGICAL PLLC
Location Address4751 LAKEVIEW DRSebring, FL 33870-2064
Mailing Address4751 Lakeview DrSebring, FL 33870-2064 · (863) 402-5600 · Fax (863) 402-5602
Phone(863) 402-5600
Fax(863) 402-5602
Organization SubpartNo
Authorized OfficialThomas C LackeyOwner · 86340265600
Enumeration DateJune 13, 2007
Last NPPES UpdateMay 11, 2015
✔ NPI 1174727937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4751 LAKEVIEW DR, Sebring, FL 33870
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Other Identifiers 2

Medicare PINAF613FL
Medicaid279537000FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida Lakes Surgical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Florida Lakes Surgical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Lackey, D. O.
General Surgery
NPI 1114955598
4759 LAKEVIEW DR STE 101
Sebring, FL 33870
(863) 402-5600
✔ PECOS✔ Accepts MedicareSame address

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

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 Florida Lakes Surgical PLLC's NPI number?

The NPI number for Florida Lakes Surgical PLLC is 1174727937. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Florida Lakes Surgical PLLC located?

Florida Lakes Surgical PLLC is located at 4751 Lakeview Dr, Sebring, FL 33870. The listed phone number is (863) 402-5600.

What is Florida Lakes Surgical PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Florida Lakes Surgical PLLC enrolled in Medicare?

Yes. Florida Lakes Surgical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Lakes Surgical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Florida Lakes Surgical PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Florida Lakes Surgical PLLC was last updated on May 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.