South Lake Gastroenterology Inc in Clermont - Specialist
South Lake Gastroenterology Inc - NPI 1467647685
South Lake Gastroenterology Inc is a Specialist in Clermont, Florida. South Lake Gastroenterology Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for South Lake Gastroenterology Inc is 1467647685. The last update date is 2014-07-18.
South Lake Gastroenterology Inc's current location address is Po Box 120930, Clermont, Florida. You can contact this provider via phone number 3522421665 and fax number 3522431649. The mailing address for South Lake Gastroenterology Inc is Po Box 120930, Clermont, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Lake Gastroenterology Inc |
|---|---|
| Address | Po Box 120930, Clermont, Florida |
| Phone Number | 3522421665 |
| Fax Number | 3522431649 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Rampersad Ramesh |
| Telephone Number | 3522421665 |
NPI Number Detail
| NPI Number | 1467647685 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2014-07-18 |
Provider Mailing Address Detail
| Address | Po Box 120930 |
|---|---|
| City | Clermont |
| State | Florida (FL) |
| Post Code | 347120930 |
| Phone Number | 3522421665 |
| Fax Number | 3522431649 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME74082 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5858631 | FL | AETNA | |
| E0302Z | FL | MEDICARE INDIVIDUAL | |
| 256031300 | FL | -- | |
| 43437 | FL | FL BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to South Lake Gastroenterology Inc by the Centers for Medicare & Medicaid Services?
The South Lake Gastroenterology Inc has been issued the NPI (National Provider Identifier) 1467647685 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where South Lake Gastroenterology Inc is located?
The South Lake Gastroenterology Inc is situated at the following address: Po Box 120930, Clermont, FL, 347120930.
What is South Lake Gastroenterology Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for South Lake Gastroenterology Inc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467647685 to South Lake Gastroenterology Inc?
The Centers for Medicare & Medicaid Services originally issued the 1467647685 to South Lake Gastroenterology Inc on 2007-09-11.
As of what date were the details related to South Lake Gastroenterology Inc most recently updated or revised?
The information pertaining to South Lake Gastroenterology Inc, including its address, specialty, and other relevant details, was last updated or revised on 2014-07-18.