East Lake Medical Clinic

  • 1790124741 NPI Number
  • |
  • Actived: 10 years ago
  • |
East Lake Medical Clinic is a health care provider based in Saint Cloud, FL. The NPI Number is 1790124741 and it has been active since 10 years ago. The specialty is Primary Care, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Primary Care services, East Lake Medical Clinic is an excellent option. We are here to help you get the care you need.

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Overview of East Lake Medical Clinic

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 06/21/2013
  • Last updated: 06/21/2013

Primary Scrop of Practice

  • Taxonomy Code: 261QP2300X
  • Specialty: Primary Care
  • License Number: ME114777
  • License State: FL

Provider Mailing Address

  • Address: 4737 Old Canoe Creek Rd
    Saint Cloud, FL 34769
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 4737 Old Canoe Creek Rd
    Saint Cloud, FL 34769
  • Phone: 407-705-3222
  • Fax:

Authorized Official

  • Name: DR. Dustin Ly MD
  • Position/Title: President
  • Telephone Number: 407-705-3222

Scope of Practice

  • Taxonomy Code: 261QP2300X
  • Specialty: Primary Care
  • License Number: ME114777
  • License State: FL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for East Lake Medical Clinic?
  • A: The npi number for East Lake Medical Clinic is 1790124741.
  • Q: What are East Lake Medical Clinic's specialties?
  • A: East Lake Medical Clinic's specialties are Primary Care and different specialities.
  • Q: Where is East Lake Medical Clinic business practice location?
  • A: East Lake Medical Clinic business practice location is 4737 Old Canoe Creek Rd, Saint Cloud, FL 34769.
  • Q: How to contact East Lake Medical Clinic?
  • A: You can contact East Lake Medical Clinic via 407-705-3222.
  • Q: What is the authorized official for East Lake Medical Clinic?
  • A: The authorized office name is DR. Dustin Ly MD with position/title is President and you can reach the authorized official via phone number 4077053222.
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