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ADULT MEDICINE OF LAKE COUNTY INC
NPI 1851450209
Internal Medicine in Mount Dora, FL

Active since December 08, 2006CLIA Certified · 2 labs
3619 LAKE CENTER DR, MOUNT DORA, FL 32757(352) 383-8222(352) 383-1420 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Adult Medicine Of Lake County Inc NPPES

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

ADULT MEDICINE OF LAKE COUNTY INC (NPI 1851450209) is a healthcare organization registered as an internal medicine in Mount Dora, Florida and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Shirley Nagel, President, as its authorized official.

NPPES Registry Identity

NPI1851450209
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameADULT MEDICINE OF LAKE COUNTY INC
Location Address3619 LAKE CENTER DRMount Dora, FL 32757-2364
Mailing Address3619 Lake Center DrMount Dora, FL 32757-2364 · (352) 383-8222 · Fax (352) 383-1420
Phone(352) 383-8222
Fax(352) 383-1420
Organization SubpartNo
Authorized OfficialShirley NagelPresident · (352) 383-8222
Enumeration DateDecember 8, 2006
Last NPPES UpdateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
✔ NPI 1851450209 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.
3619 LAKE CENTER DR, Mount Dora, FL 32757
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adult Medicine Of Lake County Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Adult Medicine Of Lake County Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Eleanor Davina, D.O.
Internal Medicine
NPI 1477556785
3619 LAKE CENTER DR
Mount Dora, FL 32757
(352) 383-8222
✔ PECOS✔ Accepts MedicareSame address
Robert Martello, DO
Family Practice
NPI 1205879236
3619 LAKE CENTER DR
Mount Dora, FL 32757
(352) 383-8222
✔ PECOS✔ Accepts MedicareSame address
Shirley Nagel, M.D.
Internal Medicine
NPI 1043213366
3619 LAKE CENTER DR
Mount Dora, FL 32757
(352) 383-8222
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 10D0273811

Adult Medicine Of Lake County Inc · Mount Dora, FL
Active · expires Jun 7, 2027
CLIA Number10D0273811
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorShirley A. Nagel
Laboratory Phone(352) 289-2167
Laboratory LocationAdult Medicine Of Lake County Inc3619 Lake Center Dr, Mount Dora, FL 32757
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2273104

Adult Medicine Of Lake County · Mount Dora, FL
Active · expires Dec 6, 2026
CLIA Number10D2273104
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorShirley A. Nagel
Laboratory Phone(352) 383-8222
Laboratory LocationAdult Medicine Of Lake County3587 Lake Center Dr, Mount Dora, FL 32757
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Adult Medicine Of Lake County Inc's NPI number?

The NPI number for Adult Medicine Of Lake County Inc is 1851450209. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Adult Medicine Of Lake County Inc located?

Adult Medicine Of Lake County Inc is located at 3619 Lake Center Dr, Mount Dora, FL 32757. The listed phone number is (352) 383-8222.

What is Adult Medicine Of Lake County Inc's specialty?

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

Is Adult Medicine Of Lake County Inc enrolled in Medicare?

Yes. Adult Medicine Of Lake County Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adult Medicine Of Lake County Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Adult Medicine Of Lake County Inc, in Family Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Adult Medicine Of Lake County Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Adult Medicine Of Lake County Inc accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Adult Medicine Of Lake County Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adult Medicine Of Lake County Inc was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.