SOUTH LAKE INTERNAL MEDICINE PA

CLERMONT, FL
NPI1801838313
Entity TypeOrganization
Authorized ContactJAMES M RAY
President
352-394-1969
Organization Subpart ?No
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
Enumeration Date2006-06-11
Last Update Date2008-09-18
Business Address
SOUTH LAKE INTERNAL MEDICINE PA
1371 CITRUS TOWER BLVD
CLERMONT, FL 34711-1924
Phone number: 352-243-2141
Mailing Address
SOUTH LAKE INTERNAL MEDICINE PA
1101 CITRUS TOWER BLVD
CLERMONT, FL 34711-1905
Phone number: 352-243-2141
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