South Lake Primary Care P A

  • 1164783528 NPI Number
  • |
  • Actived: 7 years ago
  • |
According to our database, NPI number for South Lake Primary Care P A is 1164783528 and actived since Friday, June 1 2012. South Lake Primary Care P A is an Organization provider specializes in Family Medicine. Provider information was last updated on 08/30/2013.

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Overview of South Lake Primary Care P A

  • NPI number: 1932755626
  • Provider type: Organization
  • Specialty: Family Medicine
  • Active since: 06/01/2012
  • Last updated: 08/30/2013

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: ME0071348
  • License State: FL

Provider Mailing Address

  • Address: 1503 Sunrise Plaza Dr
    Clermont, FL 34714
  • Phone: 352-243-3800
  • Fax: 352-243-3804

Provider Practice Location

  • Address: 219 W Myers Blvd
    Suite C
    Mascotte, FL 34753
  • Phone: 352-557-4840
  • Fax: 352-557-4839

Authorized Official

  • Name: Ramon Sueiro MD
  • Position/Title: Medical Director
  • Telephone Number: 352-557-4840

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: ME0071348
  • License State: FL
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for South Lake Primary Care P A?
  • A: The npi number for South Lake Primary Care P A is 1164783528.
  • Q: What are South Lake Primary Care P A's specialties?
  • A: South Lake Primary Care P A's specialties are Family Medicine and different specialities.
  • Q: Where is South Lake Primary Care P A business practice location?
  • A: South Lake Primary Care P A business practice location is 219 W Myers Blvd, Mascotte, FL 34753.
  • Q: How to contact South Lake Primary Care P A?
  • A: You can contact South Lake Primary Care P A via 352-557-4840.
  • Q: What is the authorized official for South Lake Primary Care P A?
  • A: The authorized office name is Ramon Sueiro MD with position/title is Medical Director and you can reach the authorized official via phone number 3525574840.