North Lake Primary Care, P.A.

LBN: North Lake Primary Care, P.A.
North Lake Primary Care, P.A. is an health care organization with primary practice located at 8022 Saint James Way , Mount Dora FL 32757-9134. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. North Lake Primary Care, P.A. can be contacted via phone (352) 516-8931, or through Creech, Jeremy E. via phone (352) 516-8931.

Contact Information

Primary practice address
8022 Saint James Way Mount Dora FL 32757-9134
Phone: (352) 516-8931
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Creech, Jeremy E. ARNP
Phone: (352) 516-8931

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 363L00000X Florida

Profile Details

NPI number 1962809145
LBN Legal business name North Lake Primary Care, P.A.
DBA Doing business as
Authorized official Creech, Jeremy E. ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2014
Last updated Dec 3rd, 2014 - about 10 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 1962809145 NPPES
Florida MEDICAID 009259700

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