SOUTH LAKE PRIMARY CARE P A is a family medicine in Mascotte, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTH LAKE PRIMARY CARE P A NPI is 1164783528. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
219 W MYERS BLVD
SUITE C
MASCOTTE, FL
ZIP 34753-793
Phone: (352) 557-4840
Fax: (352) 557-4839
The provider's authorized official is Ramon Sueiro .
The authorized official title is Medical Director and has the following contact phone number (352) 557-4840.
The CLIA number assigned to this NPI record is 10D0966029 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/1/2012 and was last updated on 8/30/2013.