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CAMRYN TAYLOR LAKE
NPI 1639976194
Physician Assistant - Medical in Jupiter, FL

Active since March 03, 2025
4600 MILITARY TRL STE 221, JUPITER, FL 33458(561) 625-9695 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Camryn Taylor Lake NPPES

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

CAMRYN TAYLOR LAKE (NPI 1639976194) is an individual medical provider in Jupiter, Florida and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1639976194
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCAMRYN TAYLOR LAKE
Location Address4600 MILITARY TRL STE 221Jupiter, FL 33458-4813
Mailing Address1244 Belfiore WayWindermere, FL 34786-8113 · (407) 733-4375
Phone(561) 625-9695
Sole ProprietorYes
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 2, 2025
✔ NPI 1639976194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4600 MILITARY TRL STE 221, Jupiter, FL 33458
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Other Providers at the Same Location NPPES

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

PALM ATLANTIC BEHAVIORAL HEALTH LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4600 MILITARY TRL STE 221
JUPITER, FL 33458
Palm Beach County (561) 206-4599

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 Camryn Lake's NPI number?

The NPI number for Camryn Lake is 1639976194. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Camryn Lake located?

Camryn Lake practices at 4600 Military Trl Ste 221, Jupiter, FL 33458. The listed phone number is (561) 625-9695.

What is Camryn Lake's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Camryn Lake was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.