SOUTH LAKE MEDICINE P A NPI 1699940635

NPI Information

SOUTH LAKE MEDICINE P A is an adult medicine family medicine in Clermont, FL. The provider is definition to come. SOUTH LAKE MEDICINE P A NPI is 1699940635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3190 CITRUS TOWER BLVD
CLERMONT, FL
ZIP 34711-802
Phone: (352) 242-2282
Fax: (352) 242-2886

The provider's authorized official is Hanxian Huang .
The authorized official title is Owner and has the following contact phone number (352) 242-2282.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 7/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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