SHANDS SURGICAL SPECIALISTS OF LAKE CITY
NPI 1871692475
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 1871692475. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Shands Surgical Specialists Of Lake City.

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 September 21, 2006

755 SW STATE ROAD 47, LAKE CITY, FL 32025(386) 755-7788(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 Shands Surgical Specialists Of Lake City NPPES

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

SHANDS SURGICAL SPECIALISTS OF LAKE CITY (NPI 1871692475) is a healthcare organization registered as a clinic/center in Lake City, Florida and active in the NPI registry since September 2006. The organization lists Jodi Mansfield, Sr. Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1871692475

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSHANDS AT LAKE SHORE INC

Location Address755 SW STATE ROAD 47Lake City, FL 32025-0453

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

Phone(386) 755-7788

Fax(352) 733-0069

Organization SubpartYes

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

Enumeration DateSeptember 21, 2006

Last NPPES UpdateMay 7, 2008

✔ NPI 1871692475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

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).

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

755 SW STATE ROAD 47, Lake City, FL 32025

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Other Names 1

Doing Business AsShands Surgical Specialists Of Lake City

Other Identifiers 3

Medicare PIN0102AFL

OtherCK8077FL · Medicare Rr

Medicaid264258101FL

Other Providers at the Same Location NPPES

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

DR. JERZY TADEUSZ POLMERSKI M.D.

Surgery

755 SW STATE ROAD 47
LAKE CITY, FL 32025

Columbia County (386) 755-7788

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 Shands At Lake Shore Inc's NPI number?

The NPI number for Shands At Lake Shore Inc is 1871692475. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Shands Surgical Specialists Of Lake City.

Where is Shands At Lake Shore Inc located?

Shands At Lake Shore Inc is located at 755 SW State Road 47, Lake City, FL 32025. The listed phone number is (386) 755-7788.

What is Shands At Lake Shore Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Shands At Lake Shore Inc was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.