South Lake Internal Medicine PA

NPI #1801838313 in Clermont, Florida

Provider Information

NPI Number
1801838313
Entity Type
Organization
Organization Name
South Lake Internal Medicine PA
Primary Specialty
Family Medicine - Adult Medicine
Enumeration Date
Jun 11, 2006
Last Updated
Sep 18, 2008

Practice Location

Address
1371 CITRUS TOWER BLVD
State
Florida
ZIP Code
34711-1924
Phone
(352) 243-2141

Authorized Official

Name
DR. JAMES M RAY
Title
PRESIDENT
Phone
(352) 394-1969

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adult MedicineAdult Medicine

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