LAKE CARDIOVASCULAR DIAGNOSTIC CENTER L.L.C NPI 1801135173

NPI Information

LAKE CARDIOVASCULAR DIAGNOSTIC CENTER L.L.C is a cardiovascular disease internal medicine in Lady Lake, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LAKE CARDIOVASCULAR DIAGNOSTIC CENTER L.L.C NPI is 1801135173. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

510 HIGHWAY 466
SUITE 105
LADY LAKE, FL
ZIP 32159-341
Phone: (352) 633-1966

The provider's authorized official is Shrikanth Upadya .
The authorized official title is Director and has the following contact phone number (352) 633-1966.

The CLIA number assigned to this NPI record is 10D2057427 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2013 and was last updated on 2/13/2013.

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:

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