South Lake Internal Medicine Pa in Clermont - Adult Medicine
South Lake Internal Medicine Pa - NPI 1801838313
South Lake Internal Medicine Pa is a Adult Medicine in Clermont, Florida. South Lake Internal Medicine Pa practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for South Lake Internal Medicine Pa is 1801838313. The last update date is 2008-09-18.
South Lake Internal Medicine Pa's current location address is 1101 Citrus Tower Blvd, Clermont, Florida. You can contact this provider via phone number 3522432141 and fax number 3522431309. The mailing address for South Lake Internal Medicine Pa is 1101 Citrus Tower Blvd, Clermont, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Lake Internal Medicine Pa |
|---|---|
| Address | 1101 Citrus Tower Blvd, Clermont, Florida |
| Phone Number | 3522432141 |
| Fax Number | 3522431309 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ray M James |
| Telephone Number | 3523941969 |
NPI Number Detail
| NPI Number | 1801838313 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2008-09-18 |
Provider Mailing Address Detail
| Address | 1101 Citrus Tower Blvd |
|---|---|
| City | Clermont |
| State | Florida (FL) |
| Post Code | 347111905 |
| Phone Number | 3522432141 |
| Fax Number | 3522431309 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Post Comment/ Review Below
What is the South Lake Internal Medicine Pa's unique identification number?
The South Lake Internal Medicine Pa has been assigned the NPI (National Provider Identifier) Number 1801838313 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where South Lake Internal Medicine Pa's facilities are geographically located?
The facilities of South Lake Internal Medicine Pa are physically situated at the following location: 1101 Citrus Tower Blvd, Clermont, FL, 347111905.
What is South Lake Internal Medicine Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The South Lake Internal Medicine Pa's specialized field of practice is Adult Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0505X.
On what date did South Lake Internal Medicine Pa receive its 1801838313 assignment from the Centers for Medicare & Medicaid Services?
The South Lake Internal Medicine Pa was assigned its 1801838313 on 2006-06-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to South Lake Internal Medicine Pa last refreshed?
The information related to the South Lake Internal Medicine Pa, including its address, specialty, and other relevant details, was last updated on 2008-09-18.