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

South Lake Pediatrics, PA

Organization Pediatrics Physician · NPI 1699076901

South Lake Pediatrics, PA is a Pediatrics Physician in Clermont, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
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

3155 Citrus Tower Blvd Bldg.# 1
Clermont, FL 34711-6803
Phone: (352) 242-1500
Fax: (352) 242-0053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME073750 (FL)

Record details

NPI number1699076901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adinarayanamurthy Nallamshetty — President · (352) 242-1500
NPI enumeratedNovember 3, 2010
Last updated in NPPESNovember 3, 2010
Mailing address3155 Citrus Tower Blvd, Bldg.# 1, Clermont, FL 34711-6803

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