Lakemont Clininc Inc

LBN: Lakemont Clininc Inc
Lakemont Clininc Inc is an health care organization with primary practice located at 1870 Aloma Ave Suite 110, Winter Park FL 32789-4050. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lakemont Clininc Inc can be contacted via phone (407) 629-2883, or through Fennell, Timothy via phone (407) 629-2883.

Contact Information

Primary practice address
1870 Aloma Ave Suite 110 Winter Park FL 32789-4050
Phone: (407) 629-2883
Fax: (407) 629-2883
Website:
Map and Directions
Authorized official contact:
Name: Fennell, Timothy PHD
Phone: (407) 629-2883

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1871706093
LBN Legal business name Lakemont Clininc Inc
DBA Doing business as
Authorized official Fennell, Timothy PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Sep 19th, 2007 - about 17 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 1871706093 NPPES
Florida Other 33389 BCBS

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