LAKESHORE RHEUMATOLOGY NPI 1942065677

NPI Information

  • NPI: 1942065677
  • Provider Name: LAKESHORE RHEUMATOLOGY
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Organization
  • Address: 15532 W COLONIAL DR STE C
    WINTER GARDEN, FL
    ZIP 34787
  • Phone: (407) 554-9200

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NPI Details

LAKESHORE RHEUMATOLOGY is a rheumatology internal medicine in Winter Garden, FL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. LAKESHORE RHEUMATOLOGY NPI is 1942065677. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15532 W COLONIAL DR STE C
WINTER GARDEN, FL
ZIP 34787-570
Phone: (407) 554-9200
Fax: (407) 554-9202

The provider's authorized official is Andrea Nicole Mccullum Mejia .
The authorized official title is Physician, Sole Owner and has the following contact phone number (502) 693-5269.

The enumeration date for this NPI number is 2/21/2024 and was last updated on 2/21/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RR0500XInternal MedicineRheumatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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