Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastlake Medical Center PA

Organization Internal Medicine Physician · NPI 1376735316

Eastlake Medical Center PA is an Internal Medicine Physician in Palm Harbor, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2595 Tampa Rd Ste K
Palm Harbor, FL 34684-3152
Phone: (727) 789-6551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME0064536 (FL)

Record details

NPI number1376735316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vijay Taunk — President · (727) 789-6551
NPI enumeratedAugust 14, 2007
Last updated in NPPESDecember 3, 2012
Mailing address2595 Tampa Rd, Ste K, Palm Harbor, FL 34684

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