SOUTH LAKE PEDIATRICS, P.A.
NPI 1699076901
Pediatrics in Clermont, FL

Active since November 03, 2010
3155 CITRUS TOWER BLVD, BLDG.# 1, CLERMONT, FL 34711(352) 242-1500(352) 242-0053 Get Directions Write a Review

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Lake Pediatrics, P.a. NPPES

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

SOUTH LAKE PEDIATRICS, P.A. (NPI 1699076901) is a healthcare organization registered as a pediatrics in Clermont, Florida and active in the NPI registry since November 2010. The organization lists Adinarayanamurthy Nallamshetty, President, as its authorized official.

NPPES Registry Identity

NPI1699076901
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH LAKE PEDIATRICS, P.A.
Location Address3155 CITRUS TOWER BLVD, BLDG.# 1Clermont, FL 34711-6803
Mailing Address3155 Citrus Tower Blvd, Bldg.# 1Clermont, FL 34711-6803 · (352) 242-1500 · Fax (352) 242-0053
Fax(352) 242-0053
Organization SubpartNo
Authorized OfficialAdinarayanamurthy NallamshettyPresident · (352) 242-1500
Enumeration DateNovember 3, 2010
NPI 1699076901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME073750
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3155 CITRUS TOWER BLVD, Clermont, FL 34711

Other Identifiers 1

Medicaid260240700FL

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.

Pediatrics
3155 CITRUS TOWER BLVD
CLERMONT, FL 34711
Nurse Practitioner (Family)
3155 CITRUS TOWER BLVD
CLERMONT, FL 34711
Pediatrics
3155 CITRUS TOWER BLVD
CLERMONT, FL 34711
Pediatrics
3155 CITRUS TOWER BLVD, BLDG # 1
CLERMONT, FL 34711
Pediatrics
3155 CITRUS TOWER BLVD
CLERMONT, FL 34711

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 Pediatrics, P.A.'s NPI number?

The NPI number for South Lake Pediatrics, P.A. is 1699076901. It was assigned to this organization in the NPPES registry on November 3, 2010.

Where is South Lake Pediatrics, P.A. located?

South Lake Pediatrics, P.A. is located at 3155 Citrus Tower Blvd Bldg.# 1, Clermont, FL 34711. The listed phone number is (352) 242-1500.

What is South Lake Pediatrics, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for South Lake Pediatrics, P.A. was last updated on November 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.