LAKE SHORE SPECIALTY GROUP
NPI 1730275538
Clinic/Center in Lake City, FL

Q: What is Shands At Lake Shore Inc's NPI number?

The NPI number for Shands At Lake Shore Inc is 1730275538. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Lake Shore Specialty Group.

Q: What is Shands At Lake Shore Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 05, 2006

368 NE FRANKLIN ST, LAKE CITY, FL 32055(386) 754-8000(352) 733-0069 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake Shore Specialty Group NPPES

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

LAKE SHORE SPECIALTY GROUP (NPI 1730275538) is a healthcare organization registered as a clinic/center in Lake City, Florida and active in the NPI registry since October 2006. The organization lists Jodi Mansfield, Sr. Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1730275538

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSHANDS AT LAKE SHORE INC

Location Address368 NE FRANKLIN STLake City, FL 32055-3088

Mailing Address720 Sw 2nd Ave, Suite 360cGainesville, FL 32601-6271 · (352) 733-0060 · Fax (352) 733-0069

Phone(386) 754-8000

Fax(352) 733-0069

Organization SubpartYes

Authorized OfficialJodi MansfieldSr. Vice President & Coo · (352) 265-0440

Enumeration DateOctober 5, 2006

Last NPPES UpdateMay 7, 2008

✔ NPI 1730275538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in FL · 4258

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

368 NE FRANKLIN ST, Lake City, FL 32055

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Other Names 1

Doing Business AsLake Shore Specialty Group

Other Identifiers 3

Medicaid264258100FL

OtherCK8077FL · Medicare Rr

Medicare PIN0102FL

Other Providers at the Same Location NPPES 15

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

ELIGIO LOPERENA JR. P.A.

Physician Assistant