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10D0681600 CLIA NUMBER - LAKE INTERNAL MEDICINE ASSOCIATES PA

Laboratory Demographics

CLIA Number: 10D0681600

Facility Name: LAKE INTERNAL MEDICINE ASSOCIATES PA

Facility Address:
2101 PREVATT ST
EUSTIS, FL
ZIP 32726
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Facility Phone Number: 352 589-4774

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1679595649

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D0681600
LAB Type Physician Office
Facility Name LAKE INTERNAL MEDICINE ASSOCIATES PA
Street 2101 PREVATT ST
City EUSTIS
State FL
ZIP 32726
Phone 352 589-4774
CertificateType 4
CertificateEffectiveDate 12/21/2022
CertificateExpirationDate 12/20/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024