Lake Center of H.O.P.E., PA
NPI 1366647802ActiveOrganization· Specialist· Leesburg, FL
Specialist in Leesburg, Florida, registered in NPPES in June 2007. The authorized official on file is Lourdes Nicolas Ungson, OFFICE MANAGER, Secretary Treasurer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366647802 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2007 |
| Last updated in NPPES | Oct 21, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 75000006578 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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