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SOUTH LAKE HOSPITAL INC
NPI 1265615124
Obstetrics & Gynecology in Clermont, FL

Active since December 13, 2007
1900 DON WICKHAM DR, CLERMONT, FL 34711(352) 241-7275(352) 241-7281 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Lake Hospital Inc NPPES

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

SOUTH LAKE HOSPITAL INC (NPI 1265615124) is a healthcare organization registered as an obstetrics & gynecology in Clermont, Florida and active in the NPI registry since December 2007. The organization lists Leslie Longacre, Vice President, as its authorized official.

NPPES Registry Identity

NPI1265615124
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTH LAKE HOSPITAL INC
Location Address1900 DON WICKHAM DRClermont, FL 34711-1979
Mailing Address1900 Don Wickham DrClermont, FL 34711-1979 · (352) 241-7275 · Fax (352) 241-7281
Phone(352) 241-7275
Fax(352) 241-7281
Organization SubpartNo
Authorized OfficialLeslie LongacreVice President · (407) 237-6393
Enumeration DateDecember 13, 2007
Last NPPES UpdateAugust 25, 2014
✔ NPI 1265615124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedUrologyTaxonomy 208800000X
1900 DON WICKHAM DR, Clermont, FL 34711
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Other Identifiers 1

Medicare PIN0051AFL

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 20

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

DR. APRIL LOUISE OXFORD MD
Internal Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (352) 536-8840
RUPINDER PREET KAUR M.D.
Internal Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (352) 536-8840
HALEY B STINSON APRN
Nurse Practitioner (Pediatrics)
1900 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (352) 394-4071
SUNG WOONG PARK
Internal Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (525) 368-8303
CHARMAINE SARATAN PHARMD
Pharmacist
1900 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (561) 350-0450
DR. KERRY-ANNE SHERIE MACHADO
Internal Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (352) 536-8840
HANS CAO MD
Family Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (352) 536-8830
MITCHELL MILSTEIN
Internal Medicine
1900 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (352) 536-8840

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 South Lake Hospital Inc's NPI number?

The NPI number for South Lake Hospital Inc is 1265615124. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is South Lake Hospital Inc located?

South Lake Hospital Inc is located at 1900 Don Wickham Dr, Clermont, FL 34711. The listed phone number is (352) 241-7275.

What is South Lake Hospital Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for South Lake Hospital Inc was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.