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SOUTH LAKE MEDICINE P A
NPI 1699940635
Family Medicine - Adult Medicine in Clermont, FL

Active since April 29, 2008
3190 CITRUS TOWER BLVD, CLERMONT, FL 34711(352) 242-2282(352) 242-2886 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About South Lake Medicine P A NPPES

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

SOUTH LAKE MEDICINE P A (NPI 1699940635) is a healthcare organization registered as an adult medicine in Clermont, Florida and active in the NPI registry since April 2008. The organization lists Hanxian Huang, Owner, as its authorized official.

NPPES Registry Identity

NPI1699940635
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameSOUTH LAKE MEDICINE P A
Location Address3190 CITRUS TOWER BLVDClermont, FL 34711-6802
Mailing Address3190 Citrus Tower BlvdClermont, FL 34711-6802 · (352) 242-2282 · Fax (352) 242-2886
Phone(352) 242-2282
Fax(352) 242-2886
Organization SubpartNo
Authorized OfficialHanxian HuangOwner · (352) 242-2282
Enumeration DateApril 29, 2008
Last NPPES UpdateJuly 12, 2010
✔ NPI 1699940635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · ME83976
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
3190 CITRUS TOWER BLVD, Clermont, FL 34711
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Other Identifiers 2

Medicare PINE6841
Medicare UPINH54571

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

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

HANXIAN HUANG M D
Internal Medicine
3190 CITRUS TOWER BLVD, SUITE B
CLERMONT, FL 34711
Lake County (352) 242-2282

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 Medicine P A's NPI number?

The NPI number for South Lake Medicine P A is 1699940635. It was assigned to this organization in the NPPES registry on April 29, 2008.

Where is South Lake Medicine P A located?

South Lake Medicine P A is located at 3190 Citrus Tower Blvd, Clermont, FL 34711. The listed phone number is (352) 242-2282.

What is South Lake Medicine P A's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for South Lake Medicine P A was last updated on July 12, 2010. 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.