Organization · Type 2 NPI

Lake Pediatrics P. A.

Rural Health Clinic/Center · Mount Dora, FL

NPI number 1942367370 Active

Practice location

4880 N Highway 19A Ste 200
Mount Dora, FL 32757-2018

Fax (352) 589-8111

Mailing address

4880 N Hwy 19 A
Mount Dora, FL 32757-2018

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

About NPI 1942367370

Lake Pediatrics P. A.'s National Provider Identifier is 1942367370, issued on Jan 3, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Mount Dora, FL. The record was last updated on Nov 12, 2025.