South Lake Medical Center INC

NPI #1144414038 in Clermont, Florida

Provider Information

NPI Number: 1144414038
Entity Type: Organization
Organization Name: South Lake Medical Center INC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 4, 2007
Last Updated: Jul 28, 2015

Practice Location

Address: 1950 HOSPITAL VIEW WAY
City: Clermont
State: Florida
ZIP Code: 34711-1926
Phone: (352) 243-3443

Authorized Official

Name: SHAZIA NASIR, M.D.
Title: OWNER
Phone: (352) 243-3443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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