Organization · Type 2 NPI

South Lake Primary Care P A

Family Medicine Physician · Mascotte, FL

NPI number 1164783528 Active

Practice location

219 W Myers Blvd, Suite C
Mascotte, FL 34753-9793

Fax (352) 557-4839

Mailing address

1503 Sunrise Plaza Dr
Clermont, FL 34714-6200

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XME0071348 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

About NPI 1164783528

South Lake Primary Care P A's National Provider Identifier is 1164783528, issued on Jun 1, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mascotte, FL. The record was last updated on Aug 30, 2013.