| Lake America Family Physicians Llc | |
|
865 Oakley Seaver Dr Clermont FL 34711-1968 | |
| (352) 432-3939 | |
| Not Available |
| Full Name | Lake America Family Physicians Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 865 Oakley Seaver Dr, Clermont, Florida |
| Authorized Official Name and Position | Amit Aggarwal (PRESIDENT) |
| Authorized Official Contact | 6185205368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake America Family Physicians Llc 1055 Glenraven Ln Clermont FL 34711-9012 Ph: (618) 520-5368 | Lake America Family Physicians Llc 865 Oakley Seaver Dr Clermont FL 34711-1968 Ph: (352) 432-3939 |
| NPI Number | 1518370147 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 01/19/2021 |
| Medicare PECOS PAC ID | 1153542626 |
|---|---|
| Medicare Enrollment ID | O20141027000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518370147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME 117575 (Florida) | Primary |
| Provider Name | Kelly S Kevitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740207497 PECOS PAC ID: 1355342577 Enrollment ID: I20070130000528 |
| Provider Name | Amit Aggarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326368234 PECOS PAC ID: 3971744715 Enrollment ID: I20141027000875 |
| Provider Name | Alka Aggarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467731950 PECOS PAC ID: 5799906269 Enrollment ID: I20141027001312 |
| Provider Name | Joseph Burnsed Geffen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588081574 PECOS PAC ID: 8921227323 Enrollment ID: I20170602002090 |
| Provider Name | Brandon Still |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215408604 PECOS PAC ID: 1951649292 Enrollment ID: I20190213000217 |
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