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

Lake Sumter Urology, LLC

Organization Urology Physician · NPI 1285385401

Lake Sumter Urology, LLC is an Urology Physician in Lady Lake, Florida. Registered with an NPI since 2022.

In the registry since
2022
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

808 Highway 466
Lady Lake, FL 32159-3918
Phone: (352) 775-6899
Fax: (877) 319-1879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1285385401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Venkata Marella — Owner And Ao · (352) 775-6899
NPI enumeratedJanuary 11, 2022
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023
Mailing address808 Highway 466, Lady Lake, FL 32159-3918

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