institution
South Lake Primary Care P A
Primary Care Clinic/Center in Clermont, Florida
NPI 1053613232

South Lake Primary Care P A is a Primary Care Clinic/Center based in Clermont, FL and is specialized in Primary Care. South Lake Primary Care P A practices in Clermont, FL. The NPI Number for South Lake Primary Care P A is 1053613232 and holds a License No. ME0071348 (Florida).

The current practice location address for South Lake Primary Care P A is 1503 Sunrise Plaza Dr, Clermont, FL and can be reached out via phone at 352-243-3800 and via fax at 352-243-3804.

Location: 1503 Sunrise Plaza Dr, Clermont, FL, 34714-6200
institution
Provider Profile Details
NPI Number
1053613232
Provider Name
South Lake Primary Care P A
Credential
Provider Entity Type
Organization
Address
1503 Sunrise Plaza Dr, Clermont, FL, 34714-6200
Phone Number
352-243-3800
Fax Number
352-243-3804
Provider Enumeration Date
11/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
250594100 05 FL
institution
Provider Business Practice Location Address Details
Address
1503 Sunrise Plaza Dr
City
State
Zip
34714-6200
Phone Number
352-243-3800
Fax Number
352-243-3804
person
Provider Business Mailing Address Details
Address
1503 Sunrise Plaza Dr
City
State
Zip
34714-6200
Phone Number
352-243-3800
Fax Number
352-243-3804
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
ME0071348 (Florida)
Definition
Definition to come...
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