South Lake Primary Care P A

LBN: South Lake Primary Care P A
South Lake Primary Care P A is an health care organization with primary practice located at 1503 Sunrise Plaza Dr , Clermont FL 34714-6200. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. South Lake Primary Care P A can be contacted via phone (352) 243-3800, or through Sueiro, Ramon via phone (352) 243-3800.

Contact Information

Primary practice address
1503 Sunrise Plaza Dr Clermont FL 34714-6200
Phone: (352) 243-3800
Fax: (352) 243-3804
Website:
Map and Directions
Authorized official contact:
Name: Sueiro, Ramon Doctor of Medicine (MD)
Phone: (352) 243-3800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME0071348 Florida

Profile Details

NPI number 1053613232
LBN Legal business name South Lake Primary Care P A
DBA Doing business as
Authorized official Sueiro, Ramon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2010
Last updated Aug 30th, 2013 - 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 1053613232 NPPES
Florida MEDICAID 250594100

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