South Lake Primary Care P a

NPI #1053613232 in Clermont, Florida

Provider Information

NPI Number
1053613232
Entity Type
Organization
Organization Name
South Lake Primary Care P a
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 22, 2010
Last Updated
Aug 30, 2013

Practice Location

Address
1503 SUNRISE PLAZA DR
State
Florida
ZIP Code
34714-6200
Phone
(352) 243-3800

Authorized Official

Name
RAMON SUEIRO, MD
Title
MD
Phone
(352) 243-3800

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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Provider Name
Florida Family Physicians

Part of Florida Family Physicians

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