SOUTH LAKE ANESTHESIA SERVICES, P.A. – Certified Registered Nurse Anesthetist, NPI 1346255056

SOUTH LAKE ANESTHESIA SERVICES, P.A. is a healthcare provider. based in Clermont, Florida. specializing in Certified Registered Nurse Anesthetist. The NPI Number for SOUTH LAKE ANESTHESIA SERVICES, P.A. is 1346255056

Main info

Organization
Name
SOUTH LAKE ANESTHESIA SERVICES, P.A.
NPI
1346255056
Phone
(352) 243-9114
Address
1900 DON WICKHAM DR
Authorized Official
DR. DAVID S GHIVIZZANI OWNER M.D.
Enumeration Date
30 July 2006
Last Update Date
9 December 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for SOUTH LAKE ANESTHESIA SERVICES, P.A.

  • South Lake Hospital, 1900, Don Wickham Drive, Clermont, Lake County, Florida, 34711, United States

    CLERMONT, FL 347111979

    Phone: (352) 243-9114

    Fax: (352) 243-7822

    Type: Location

  • PO BOX 100024

    ATLANTA, GA 303480024

    Phone: (352) 243-9114

    Fax: (352) 243-7822

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34711)

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Reviews

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Frequently asked questions

Can I use this page to confirm SOUTH LAKE ANESTHESIA SERVICES, P.A.'s NPI?
Yes. SOUTH LAKE ANESTHESIA SERVICES, P.A. is listed with NPI 1346255056 in the public NPI dataset.
Can I rely on SOUTH LAKE ANESTHESIA SERVICES, P.A. being an active provider?
As of the registry snapshot, SOUTH LAKE ANESTHESIA SERVICES, P.A. is marked active.
What taxonomy line describes SOUTH LAKE ANESTHESIA SERVICES, P.A.?
For research purposes, treat SOUTH LAKE ANESTHESIA SERVICES, P.A. as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is SOUTH LAKE ANESTHESIA SERVICES, P.A. based?
SOUTH LAKE ANESTHESIA SERVICES, P.A. is tied to Clermont, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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