South Lake Gastroenterology Inc

LBN: South Lake Gastroenterology Inc
South Lake Gastroenterology Inc is an health care organization with primary practice located at 2040 Oakley Seaver Dr , Clermont FL 34711-1962. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South Lake Gastroenterology Inc can be contacted via phone (352) 242-1665, or through Rampersad, Ramesh via phone (352) 242-1665.

Contact Information

Primary practice address
2040 Oakley Seaver Dr Clermont FL 34711-1962
Fax: (352) 243-1649
Website:
Authorized official contact:
Name: Rampersad, Ramesh

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME74082 Florida

Profile Details

NPI number 1467647685
LBN Legal business name South Lake Gastroenterology Inc
DBA Doing business as
Authorized official Rampersad, Ramesh
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2007
Last updated Jul 18th, 2014 - about 11 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 1467647685 NPPES
Florida Other 5858631 AETNA
Florida Other E0302Z AETNA
Florida MEDICAID 256031300 AETNA
Florida Other 43437 AETNA

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