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SOUTH LAKE INTERNAL MEDICINE PA
NPI 1801838313
Family Medicine - Adult Medicine in Clermont, FL

Active since June 11, 2006
1371 CITRUS TOWER BLVD, CLERMONT, FL 34711(352) 243-2141(352) 243-1309 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Lake Internal Medicine Pa NPPES

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

SOUTH LAKE INTERNAL MEDICINE PA (NPI 1801838313) is a healthcare organization registered as an adult medicine in Clermont, Florida and active in the NPI registry since June 2006. The organization lists James M Ray, President, as its authorized official.

NPPES Registry Identity

NPI1801838313
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameSOUTH LAKE INTERNAL MEDICINE PA
Location Address1371 CITRUS TOWER BLVDClermont, FL 34711-1924
Mailing Address1101 Citrus Tower BlvdClermont, FL 34711-1905 · (352) 243-2141 · Fax (352) 243-1309
Phone(352) 243-2141
Fax(352) 243-1309
Organization SubpartNo
Authorized OfficialJames M RayPresident · (352) 394-1969
Enumeration DateJune 11, 2006
Last NPPES UpdateSeptember 18, 2008
✔ NPI 1801838313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1371 CITRUS TOWER BLVD, Clermont, FL 34711
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Other Identifiers 1

Medicare PINK-5621FL

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 4

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

MS. SOPHIA DANIELLE RAZIS APRN
Nurse Practitioner (Pediatrics)
1371 CITRUS TOWER BLVD
CLERMONT, FL 34711
Lake County (352) 708-4828
DR. JEAN-PIERRE B. MUHUMUZA M.D.
Pediatrics
1371 CITRUS TOWER BLVD
CLERMONT, FL 34711
Lake County (352) 708-4828
NTC URGENT CARE CENTERS LLC
Clinic/Center (Urgent Care)
1371 CITRUS TOWER BLVD
CLERMONT, FL 34711
Lake County (352) 394-2205
NEMOURS CHILDREN'S HEALTH, CLERMONT, PRIMARY CARE
Pediatrics
1371 CITRUS TOWER BLVD
CLERMONT, FL 34711
Lake County (407) 237-9700

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 Internal Medicine PA's NPI number?

The NPI number for South Lake Internal Medicine PA is 1801838313. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is South Lake Internal Medicine PA located?

South Lake Internal Medicine PA is located at 1371 Citrus Tower Blvd, Clermont, FL 34711. The listed phone number is (352) 243-2141.

What is South Lake Internal Medicine PA'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 Internal Medicine PA was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.