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

Carol L Takis, PAC

Individual provider Family Medicine Physician · NPI 1922178706

Carol L Takis, PAC is a Family Medicine Physician in Clermont, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1135 Lake Ave
Clermont, FL 34711
Phone: (352) 394-4035
Fax: (352) 241-0896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9103292 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA9103292 (FL)

Record details

NPI number1922178706
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESApril 22, 2020
Certification dateApril 22, 2020
Mailing addressPo Box 121009, Clermont, FL 34712

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