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LETTUCE LAKE EMERGENCY PHYSICIANS LLC
NPI 1699293225
Emergency Medicine in Lutz, FL

Active since September 04, 2017
1430 DALE MABRY HIGHWAY, LUTZ, FL 33548(469) 401-2386 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2020, Sep 10, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Lettuce Lake Emergency Physicians Llc NPPES

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

LETTUCE LAKE EMERGENCY PHYSICIANS LLC (NPI 1699293225) is a healthcare organization registered as an emergency medicine in Lutz, Florida and active in the NPI registry since September 2017. The organization maintains a secondary practice location in Temple Terrace and lists Kathy Kondas, Officer, as its authorized official.

NPPES Registry Identity

NPI1699293225
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameLETTUCE LAKE EMERGENCY PHYSICIANS LLC
Location Address1430 DALE MABRY HIGHWAYLutz, FL 33548
Mailing Address13737 Noel Road 1600Dallas, TX 75240
Phone(469) 401-2386
Organization SubpartNo
Authorized OfficialKathy KondasOfficer · (973) 251-1132
Enumeration DateSeptember 4, 2017
Last NPPES UpdateDecember 22, 20203 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
✔ NPI 1699293225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1430 DALE MABRY HIGHWAY, Lutz, FL 33548
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Secondary Practice Location 1

Location 15234 E Fowler AveTemple Terrace, FL 33617 · Phone (469) 401-2386

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

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 Lettuce Lake Emergency Physicians LLC's NPI number?

The NPI number for Lettuce Lake Emergency Physicians LLC is 1699293225. It was assigned to this organization in the NPPES registry on September 4, 2017.

Where is Lettuce Lake Emergency Physicians LLC located?

Lettuce Lake Emergency Physicians LLC is located at 1430 Dale Mabry Highway, Lutz, FL 33548. The listed phone number is (469) 401-2386.

What is Lettuce Lake Emergency Physicians LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Lettuce Lake Emergency Physicians LLC was last updated on December 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.