South Lake Primary Care P A
South Lake Primary Care P A is a Primary Care Clinic/Center in Clermont, Florida. Licensed in Florida. Registered with an NPI since 2010.
- Licensed in
- FL
- In the registry since
- 2010
Practice location Address checks out
1503 Sunrise Plaza DrClermont, FL 34714-6200
Phone: (352) 243-3800
Fax: (352) 243-3804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence ME0071348 (FL) |
|---|
Record details
| NPI number | 1053613232 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ramon Sueiro — Md · (352) 243-3800 |
| NPI enumerated | November 22, 2010 |
| Last updated in NPPES | August 30, 2013 |
| Mailing address | 1503 Sunrise Plaza Dr, Clermont, FL 34714-6200 |
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