Lake County Primary Medical Care Llc

LBN: Lake County Primary Medical Care Llc
Lake County Primary Medical Care Llc is an health care organization with primary practice located at 33 N Center St Suite A, Eustis FL 32726-3580. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Lake County Primary Medical Care Llc can be contacted via phone (352) 357-0880, or through Baskar, Sujatha via phone (352) 357-0880.

Contact Information

Primary practice address
33 N Center St Suite A Eustis FL 32726-3580
Phone: (352) 357-0880
Fax: (352) 357-0334
Website:
Map and Directions
Authorized official contact:
Name: Baskar, Sujatha Doctor of Medicine (MD)
Phone: (352) 357-0880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1568451888
LBN Legal business name Lake County Primary Medical Care Llc
DBA Doing business as
Authorized official Baskar, Sujatha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Dec 31st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568451888 NPPES
Florida MEDICAID 274014100

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