East Lake Medical Clinic
East Lake Medical Clinic is a Primary Care Clinic/Center in Saint Cloud, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
Practice location Address checks out
4737 Old Canoe Creek RdSaint Cloud, FL 34769-1400
Phone: (407) 705-3222
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence ME114777 (FL) |
|---|
Record details
| NPI number | 1790124741 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dustin Ly — President · (407) 705-3222 |
| NPI enumerated | June 21, 2013 |
| Last updated in NPPES | June 21, 2013 |
| Mailing address | 4737 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 |
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