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Lake Internal Medicine Associates
Family Nurse Practitioner in Eustis, Florida
NPI 1679595649

Lake Internal Medicine Associates is a Family Nurse Practitioner based in Eustis, FL and is specialized in Family. Lake Internal Medicine Associates practices in Eustis, FL. The NPI Number for Lake Internal Medicine Associates is 1679595649 and holds a License No. (Florida).

The current practice location address for Lake Internal Medicine Associates is 2101 Prevatt St, Eustis, FL and can be reached out via phone at 352-589-4774 and via fax at 352-589-5092.

Location: 2101 Prevatt St, Eustis, FL, 32726-6131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679595649
Provider Name
Lake Internal Medicine Associates
Credential
Provider Entity Type
Organization
Address
2101 Prevatt St, Eustis, FL, 32726-6131
Phone Number
352-589-4774
Fax Number
352-589-5092
Provider Enumeration Date
07/25/2006
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
2101 Prevatt St
City
Eustis
State
Florida
Zip
32726-6131
Phone Number
352-589-4774
Fax Number
352-589-5092
person
Provider Business Mailing Address Details
Address
2101 Prevatt St
City
Eustis
State
Florida
Zip
32726-6131
Phone Number
352-589-4774
Fax Number
352-589-5092
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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