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

Lake Gastroenterology Associates LLC

Organization Gastroenterology Physician · NPI 1972801827

Lake Gastroenterology Associates LLC is a Gastroenterology Physician in Tavares, Florida. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1703 Mayo Dr
Tavares, FL 32778-4307
Phone: (352) 383-5200
Fax: (352) 383-3534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1972801827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soundarapandian Baskar — Owner/Officer · (352) 636-3652
NPI enumeratedMarch 2, 2011
Last updated in NPPESMay 4, 2011
Mailing addressPo Box 1345, Mount Dora, FL 32756-1345

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