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LAKE ENDOCRINOLOGY CONSULTING, PLLC
NPI 1619418563
Internal Medicine - Endocrinology, Diabetes & Metabolism in Largo, FL

Active since March 12, 2017CLIA 10D2210928 · Waiver
13123 66TH ST, LARGO, FL 33773(727) 477-1039(727) 477-0498 Get Directions Write a Review

NPPES record last updated: May 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2021, Feb 4, 2021, Nov 8, 2018 (3 updates tracked since 2018).

About Lake Endocrinology Consulting, Pllc NPPES

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

LAKE ENDOCRINOLOGY CONSULTING, PLLC (NPI 1619418563) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Largo, Florida and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Brian Matthew Lake, Ambr, as its authorized official.

NPPES Registry Identity

NPI1619418563
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameLAKE ENDOCRINOLOGY AND DIABETES, PLLC
Location Address13123 66TH STLargo, FL 33773-1812
Mailing Address13123 66th StLargo, FL 33773-1812 · (727) 477-1039 · Fax (727) 477-0498
Phone(727) 477-1039
Fax(727) 477-0498
Organization SubpartNo
Authorized OfficialBrian Matthew LakeAmbr · (727) 477-1039
Enumeration DateMarch 12, 2017
Last NPPES UpdateMay 2, 20213 updates tracked since enumeration
NPPES CertifiedMay 2, 2021
✔ NPI 1619418563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License OS9591 (FL)
13123 66TH ST, Largo, FL 33773
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Other Names 1

Doing Business AsLake Endocrinology Consulting, Pllc

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.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 10D2210928

Lake Endocrinology And Diabetes PLLC · Largo, FL
Active · expires Jan 24, 2027
CLIA Number10D2210928
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorBrian M. Lake
Laboratory Phone(727) 477-1039
Laboratory LocationLake Endocrinology And Diabetes PLLC13123 66th Street, Largo, FL 33773
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.

DR. BRIAN MATTHEW LAKE D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
13123 66TH ST
LARGO, FL 33773
Pinellas County (727) 477-1039
MS. KIMBERLEY JOYCE PHILIP APRN
Nurse Practitioner (Adult Health)
13123 66TH ST
LARGO, FL 33773
Pinellas County (727) 213-5808

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 Lake Endocrinology And Diabetes, PLLC's NPI number?

The NPI number for Lake Endocrinology And Diabetes, PLLC is 1619418563. It was assigned to this organization in the NPPES registry on March 12, 2017. The provider is doing business as Lake Endocrinology Consulting, PLLC.

Where is Lake Endocrinology And Diabetes, PLLC located?

Lake Endocrinology And Diabetes, PLLC is located at 13123 66th St, Largo, FL 33773. The listed phone number is (727) 477-1039.

What is Lake Endocrinology And Diabetes, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Lake Endocrinology And Diabetes, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2210928) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Endocrinology And Diabetes, PLLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Lake Endocrinology And Diabetes, PLLC 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 Lake Endocrinology And Diabetes, PLLC was last updated on May 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.