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

South Lake Hospital Inc

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1265615124

South Lake Hospital Inc is an Endocrinology, Diabetes & Metabolism Physician in Clermont, Florida. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone: (352) 241-7275
Fax: (352) 241-7281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Urology Physician Taxonomy 208800000X

Record details

NPI number1265615124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Longacre — Vice President · (407) 237-6393
NPI enumeratedDecember 13, 2007
Last updated in NPPESAugust 25, 2014
Mailing address1900 Don Wickham Dr, Clermont, FL 34711-1979

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