South Lake Pediatrics, P.A.

LBN: South Lake Pediatrics, P.A.
South Lake Pediatrics, P.A. is an health care organization with primary practice located at 3155 Citrus Tower Blvd Bldg.# 1, Clermont FL 34711-6803. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. South Lake Pediatrics, P.A. can be contacted via phone (352) 242-1500, or through Nallamshetty, Adinarayanamurthy via phone (352) 242-1500.

Contact Information

Primary practice address
3155 Citrus Tower Blvd Bldg.# 1 Clermont FL 34711-6803
Phone: (352) 242-1500
Fax: (352) 242-0053
Website:
Map and Directions
Authorized official contact:
Name: Nallamshetty, Adinarayanamurthy Doctor of Medicine (MD)
Phone: (352) 242-1500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME073750 Florida

Profile Details

NPI number 1699076901
LBN Legal business name South Lake Pediatrics, P.A.
DBA Doing business as
Authorized official Nallamshetty, Adinarayanamurthy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2010
Last updated Nov 3rd, 2010 - about 15 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 1699076901 NPPES
Florida MEDICAID 260240700

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