LAKE REGIONAL PRIMARY CARE
NPI 1053869487
Legal Medicine in Mount Dora, FL

Q: What is Medical Ventures Of America's NPI number?

The NPI number for Medical Ventures Of America is 1053869487. It was assigned to this organization in the NPPES registry on September 14, 2016. The provider is doing business as Lake Regional Primary Care.

Q: What is Medical Ventures Of America's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Active since September 14, 2016

16890 US HIGHWAY 441, MOUNT DORA, FL 32757(352) 315-1651(352) 315-1703 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2016, Sep 14, 2016 (2 updates tracked since 2016).

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About Lake Regional Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE REGIONAL PRIMARY CARE (NPI 1053869487) is a healthcare organization registered as a legal medicine in Mount Dora, Florida and active in the NPI registry since September 2016. The organization lists Glenda Marti, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1053869487

Entity TypeOrganization

Primary Taxonomy173000000X

Legal Business NameMEDICAL VENTURES OF AMERICA

Location Address16890 US HIGHWAY 441Mount Dora, FL 32757-6705

Mailing Address16890 Us Highway 441Mount Dora, FL 32757-6705 · (352) 315-1651 · Fax (352) 315-1703

Phone(352) 315-1651

Fax(352) 315-1703

Organization SubpartYesParent: Lake Regional Urgent Care

Authorized OfficialGlenda MartiBilling Manager · (352) 315-1651

Enumeration DateSeptember 14, 2016

Last NPPES UpdateOctober 11, 20162 updates tracked since enumeration

✔ NPI 1053869487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers

Taxonomy Code173000000X

License✔ Licensed in FL · ME77919

Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

16890 US HIGHWAY 441, Mount Dora, FL 32757

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Other Names 1

Doing Business AsLake Regional Primary Care

Other Identifiers 2

Medicare UPIN34537FL

Medicaid010331500FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICAL VENTURES OF AMERICA LLC

Legal Medicine