INTERNAL MEDICINE ASSOCIATES OF LAKE COUNTY, P.A.
NPI 1285611210
Internal Medicine in Leesburg, FL

Q: What is Internal Medicine Associates Of Lake County, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 30, 2005CLIA 10D0979216 · Waiver

619 W DIXIE AVE, LEESBURG, FL 34748(352) 314-2424(352) 314-3010 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Internal Medicine Associates Of Lake County, P.a. NPPES

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

INTERNAL MEDICINE ASSOCIATES OF LAKE COUNTY, P.A. (NPI 1285611210) is a healthcare organization registered as an internal medicine in Leesburg, Florida and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Gregory Mark Brown, President, as its authorized official.

NPPES Registry Identity

NPI1285611210

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameINTERNAL MEDICINE ASSOCIATES OF LAKE COUNTY, P.A.

Location Address619 W DIXIE AVELeesburg, FL 34748-2602

Mailing Address619 W Dixie AveLeesburg, FL 34748-2602 · (352) 314-2424 · Fax (352) 314-3010

Phone(352) 314-2424

Fax(352) 314-3010

Organization SubpartNo

Authorized OfficialGregory Mark BrownPresident · (352) 314-2424

Enumeration DateDecember 30, 2005

Last NPPES UpdateApril 2, 2015

✔ NPI 1285611210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

619 W DIXIE AVE, Leesburg, FL 34748

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Other Identifiers 3

Other45358FL · Bcbs Of Florida

Medicaid259964300FL

Medicare PINK1936FL

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0979216

Internal Medicine Associates Of Lake County PA · Leesburg, FL

Active · expires May 25, 2028

CLIA Number10D0979216

Laboratory TypePhysician Office

Certificate Effective DateMay 26, 2026

Certificate Expiration DateMay 25, 2028

Laboratory DirectorGregory M. Brown MD

Laboratory Phone(352) 314-2424

Laboratory LocationInternal Medicine Associates Of Lake County PA801 E Dixie Ave, Ste 107A, Leesburg, FL 34748

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

CORALYS DANIELLE OCASIO PADILLA SLPA

Specialist/Technologist (Speech-Language Assistant)