SOUTH LAKE ANESTHESIA SERVICES, P.A.
NPI 1346255056
Nurse Anesthetist, Certified Registered in Clermont, FL

Q: What is the provider's specialty?

The provider's specialty is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since July 30, 2006

1900 DON WICKHAM DR, CLERMONT, FL 34711(352) 243-9114(352) 243-7822 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About South Lake Anesthesia Services, P.a. NPPES

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

SOUTH LAKE ANESTHESIA SERVICES, P.A. (NPI 1346255056) is a healthcare organization registered as a nurse anesthetist, certified registered in Clermont, Florida and active in the NPI registry since July 2006. The organization lists David S Ghivizzani, Owner, as its authorized official.

NPPES Registry Identity

NPI1346255056

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameSOUTH LAKE ANESTHESIA SERVICES, P.A.

Location Address1900 DON WICKHAM DRClermont, FL 34711-1979

Mailing AddressPo Box 100024Atlanta, GA 30348-0024 · (352) 243-9114 · Fax (352) 243-7822

Phone(352) 243-9114

Fax(352) 243-7822

Organization SubpartNo

Authorized OfficialDavid S GhivizzaniOwner · (352) 243-9114

Enumeration DateJuly 30, 2006

Last NPPES UpdateDecember 9, 2011

✔ NPI 1346255056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

1900 DON WICKHAM DR, Clermont, FL 34711

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Other Identifiers 4

Other45233FL · Blue Cross Blue Shield

OtherDA3883FL · Railroad Medicare

Medicare ID-Type Unspecified45233FL

Medicaid259314900FL

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