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

Lake Internal Medicine Associates

Organization Family Nurse Practitioner · NPI 1679595649

Lake Internal Medicine Associates is a Family Nurse Practitioner in Eustis, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2101 Prevatt St
Eustis, FL 32726-6131
Phone: (352) 589-4774
Fax: (352) 589-5092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1679595649
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bonnie Demuth — Practice Manager · (352) 589-4774
NPI enumeratedJuly 25, 2006
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address2101 Prevatt St, Eustis, FL 32726-6131

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