Lake County Primary Medical Care LLC

NPI #1568451888 in Eustis, Florida

Provider Information

NPI Number: 1568451888
Entity Type: Organization
Organization Name: Lake County Primary Medical Care LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 19, 2005
Last Updated: Dec 31, 2012

Practice Location

Address: 33 N CENTER ST
Address 2: SUITE A
City: Eustis
State: Florida
ZIP Code: 32726-3580
Phone: (352) 357-0880

Authorized Official

Name: MRS. SUJATHA BASKAR, MD
Title: OWNER
Phone: (352) 357-0880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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