NORTH LAKE PRIMARY CARE, P.A.
NPI 1962809145
Nurse Practitioner - Family in Mount Dora, FL

Q: What is North Lake Primary Care, P.A.'s NPI number?

The NPI number for North Lake Primary Care, P.A. is 1962809145. It was assigned to this organization in the NPPES registry on December 3, 2014.

Q: What is North Lake Primary Care, P.A.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 03, 2014

8022 SAINT JAMES WAY, MOUNT DORA, FL 32757(352) 516-8931 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About North Lake Primary Care, P.a. NPPES

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

NORTH LAKE PRIMARY CARE, P.A. (NPI 1962809145) is a healthcare organization registered as a family in Mount Dora, Florida and active in the NPI registry since December 2014. The organization lists Jeremy E. Creech, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1962809145

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameNORTH LAKE PRIMARY CARE, P.A.

Location Address8022 SAINT JAMES WAYMount Dora, FL 32757-9134

Mailing Address8022 Saint James WayMount Dora, FL 32757-9134 · (352) 516-8931

Phone(352) 516-8931

Organization SubpartNo

Authorized OfficialJeremy E. CreechProprietor · (352) 516-8931

Enumeration DateDecember 3, 2014

✔ NPI 1962809145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 363L00000X

8022 SAINT JAMES WAY, Mount Dora, FL 32757

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Other Identifiers 2

Medicaid009259700FL

Medicare UPINHJ008ZFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 North Lake Primary Care, P.A.'s NPI number?

The NPI number for North Lake Primary Care, P.A. is 1962809145. It was assigned to this organization in the NPPES registry on December 3, 2014.

Where is North Lake Primary Care, P.A. located?

North Lake Primary Care, P.A. is located at 8022 Saint James Way, Mount Dora, FL 32757. The listed phone number is (352) 516-8931.

What is North Lake Primary Care, P.A.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for North Lake Primary Care, P.A. was last updated on December 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.