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
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None 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.