Organization · Type 2 NPI

Lake Sumpter Orthopedic

Clinic/Center · Mount Dora, FL

NPI number 1356832190 Active

Practice location

3900 Lake Center Dr Ste A2
Mount Dora, FL 32757-2203

Mailing address

8925 SE Bridge Rd
Hobe Sound, FL 33455-5312

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1356832190

Lake Sumpter Orthopedic's National Provider Identifier is 1356832190, issued on May 29, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Mount Dora, FL. The record was last updated on May 29, 2018.