Lake Regional Primary Care

LBN: Medical Ventures Of America
Lake Regional Primary Care is an health care organization with primary practice located at 16890 Us Highway 441 , Mount Dora FL 32757-6705. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Medical Ventures Of America can be contacted via phone (352) 315-1651, or through Marti, Glenda via phone (352) 315-1651.

Contact Information

Primary practice address
16890 Us Highway 441 Mount Dora FL 32757-6705
Phone: (352) 315-1651
Fax: (352) 315-1703
Website:
Map and Directions
Authorized official contact:
Name: Marti, Glenda
Phone: (352) 315-1651

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X ME77919 Florida

Profile Details

NPI number 1053869487
LBN Legal business name Medical Ventures Of America
DBA Doing business as Lake Regional Primary Care
Authorized official Marti, Glenda
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 14th, 2016
Last updated Oct 11th, 2016 - about 9 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 1053869487 NPPES
Florida MEDICAID 010331500

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