Lakeview Specialist Group, LLC

NPI #1043869332 in Summerfield, Florida

Provider Information

NPI Number: 1043869332
Entity Type: Organization
Organization Name: Lakeview Specialist Group, LLC
Primary Specialty: Specialist
Enumeration Date: Sep 9, 2019
Last Updated: Sep 12, 2019

Practice Location

Address: 10250 SE 167TH PLACE RD UNIT 5
City: Summerfield
State: Florida
ZIP Code: 34491-8682
Phone: (352) 307-9925

Authorized Official

Name: KHAI CHANG, MD
Title: OWNER
Phone: (352) 307-9925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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