Organization · Type 2 NPI

South Lake Obstetrics & Gynecology, LLC

Obstetrics & Gynecology Physician · Clermont, FL

NPI number 1497754121 Active · reactivated Jan 28, 2008

Practice location

1900 Don Wickham Dr Ste 120
Clermont, FL 34711-1980

Fax (352) 241-7035

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	OS8678 (FL)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2 other providers at this address

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About NPI 1497754121

South Lake Obstetrics & Gynecology, LLC's National Provider Identifier is 1497754121, issued on Jul 15, 2005. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Clermont, FL. The record was last updated on Mar 13, 2024.