Organization · Type 2 NPI

East Lake Medical Clinic

Primary Care Clinic/Center · St. Cloud, FL

NPI number 1790124741 Active

About NPI 1790124741

East Lake Medical Clinic's National Provider Identifier is 1790124741, issued on Jun 21, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in St. Cloud, FL. The record was last updated on Jun 21, 2013.