South Lake Hospital INC

NPI #1265615124 in Clermont, Florida

Provider Information

NPI Number
1265615124
Entity Type
Organization
Organization Name
South Lake Hospital INC
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Dec 13, 2007
Last Updated
Aug 25, 2014

Practice Location

Address
1900 DON WICKHAM DR
State
Florida
ZIP Code
34711-1979
Phone
(352) 241-7275

Authorized Official

Name
LESLIE LONGACRE
Title
VICE PRESIDENT
Phone
(407) 237-6393

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Endocrinology, Diabetes & MetabolismEndocrinology, Diabetes & Metabolism
Urology
Obstetrics & Gynecology

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