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CORAL GATE FAMILY MEDICAL CENTER, LLC
NPI 1205062163
Family Medicine in Clermont, FL

Active since June 05, 2009
1120 CITRUS TOWER BLVD, SUITE # 300, CLERMONT, FL 34711(352) 243-0206 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Coral Gate Family Medical Center, Llc NPPES

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

CORAL GATE FAMILY MEDICAL CENTER, LLC (NPI 1205062163) is a healthcare organization registered as a family medicine in Clermont, Florida and active in the NPI registry since June 2009. The organization lists Pateesha Bruten, Billing Manger, as its authorized official.

NPPES Registry Identity

NPI1205062163
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOUTCOME BASED DELIVERY SYSTEMS ACQUISITION COMPANY, LLC
Location Address1120 CITRUS TOWER BLVD, SUITE # 300Clermont, FL 34711-1909
Mailing Address2929 N University Dr, Suite # 110Coral Springs, FL 33065-5081 · (954) 656-8855
Phone(352) 243-0206
Organization SubpartNo
Authorized OfficialPateesha BrutenBilling Manger · (954) 656-8855
Enumeration DateJune 5, 2009
Last NPPES UpdateNovember 23, 2009
✔ NPI 1205062163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME103291
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1120 CITRUS TOWER BLVD, Clermont, FL 34711
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Other Names 1

Doing Business AsCoral Gate Family Medical Center, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

CLERMONT SURGICAL ASSOCIATES
Specialist
1120 CITRUS TOWER BLVD, SUITE 127
CLERMONT, FL 34711
Lake County (352) 536-2351
REGAL FAMILY CARE, INC.
Family Medicine
1120 CITRUS TOWER BLVD, SUITE 300
CLERMONT, FL 34711
Lake County (352) 243-0206
SOUTH LAKE HOSPITAL, INC.
Home Health
1120 CITRUS TOWER BLVD, STE 110
CLERMONT, FL 34711
Lake County (352) 241-7138
ERIKA LYNN PETRONACI ARNP
Nurse Practitioner
1120 CITRUS TOWER BLVD, SUITE 330
CLERMONT, FL 34711
Lake County (352) 241-4298
VASCULAR SPECIALISTS OF CENTRAL FLORIDA
Surgery (Vascular Surgery)
1120 CITRUS TOWER BLVD, SUITE 120
CLERMONT, FL 34711
Lake County (352) 241-7585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Outcome Based Delivery Systems Acquisition Company, LLC's NPI number?

The NPI number for Outcome Based Delivery Systems Acquisition Company, LLC is 1205062163. It was assigned to this organization in the NPPES registry on June 5, 2009. The provider is doing business as Coral Gate Family Medical Center, LLC.

Where is Outcome Based Delivery Systems Acquisition Company, LLC located?

Outcome Based Delivery Systems Acquisition Company, LLC is located at 1120 Citrus Tower Blvd Suite # 300, Clermont, FL 34711. The listed phone number is (352) 243-0206.

What is Outcome Based Delivery Systems Acquisition Company, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Outcome Based Delivery Systems Acquisition Company, LLC was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.