Organization · Type 2 NPI

South Lake Gastroenterology Inc

Specialist · Clermont, FL

NPI number 1467647685 Active

Practice location

2040 Oakley Seaver Dr
Clermont, FL 34711-1962

Call (352) 242-1665 Map

Fax (352) 243-1649

Mailing address

PO Box 120930
Clermont, FL 34712-0930

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME74082 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1467647685

South Lake Gastroenterology Inc's National Provider Identifier is 1467647685, issued on Sep 11, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Clermont, FL. The record was last updated on Jul 18, 2014.