institution
North Lake Primary Care, P.a.
Family Nurse Practitioner in Mount Dora, Florida
NPI 1962809145

North Lake Primary Care, P.a. is a Family Nurse Practitioner based in Mount Dora, FL and is specialized in Family. North Lake Primary Care, P.a. practices in Mount Dora, FL. The NPI Number for North Lake Primary Care, P.a. is 1962809145 and holds a License No. 363L00000X (Florida).

The current practice location address for North Lake Primary Care, P.a. is 8022 Saint James Way, Mount Dora, FL and can be reached out via phone at 352-516-8931.

Location: 8022 Saint James Way, Mount Dora, FL, 32757-9134
institution
Provider Profile Details
NPI Number
1962809145
Provider Name
North Lake Primary Care, P.a.
Credential
Provider Entity Type
Organization
Address
8022 Saint James Way, Mount Dora, FL, 32757-9134
Phone Number
352-516-8931
Fax Number
Provider Enumeration Date
12/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009259700 05 FL
institution
Provider Business Practice Location Address Details
Address
8022 Saint James Way
City
State
Zip
32757-9134
Phone Number
352-516-8931
Fax Number
person
Provider Business Mailing Address Details
Address
8022 Saint James Way
City
State
Zip
32757-9134
Phone Number
352-516-8931
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
363L00000X (Florida)
Definition
Definition to come...
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