North Lake Primary Care, P.a.
NPI #1962809145 in Mount Dora, Florida
Provider Information
- NPI Number
- 1962809145
- Entity Type
- Organization
- Organization Name
- North Lake Primary Care, P.a.
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Dec 3, 2014
- Last Updated
- Dec 3, 2014
Practice Location
- Address
- 8022 SAINT JAMES WAY
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-9134
- Phone
- (352) 516-8931
Authorized Official
- Name
- MR. JEREMY E. CREECH, ARNP
- Title
- PROPRIETOR
- Phone
- (352) 516-8931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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