South Lake Gastroenterology INC

NPI #1467647685 in Clermont, Florida

Provider Information

NPI Number: 1467647685
Entity Type: Organization
Organization Name: South Lake Gastroenterology INC
Primary Specialty: Specialist
Enumeration Date: Sep 11, 2007
Last Updated: Jul 18, 2014

Practice Location

Address: 2040 OAKLEY SEAVER DR
City: Clermont
State: Florida
ZIP Code: 34711-1962
Phone: (352) 242-1665

Authorized Official

Name: MR. RAMESH RAMPERSAD
Title: ADMINISTRATOR
Phone: (352) 242-1665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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