| Lake Gastroenterology Associates Llc | |
|
1703 Mayo Dr Tavares FL 32778-4307 | |
| (352) 383-5200 | |
| (352) 383-3534 |
| Full Name | Lake Gastroenterology Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1703 Mayo Dr, Tavares, Florida |
| Authorized Official Name and Position | Soundarapandian Baskar (OWNER/OFFICER) |
| Authorized Official Contact | 3526363652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Gastroenterology Associates Llc Po Box 1345 Mount Dora FL 32756-1345 Ph: (352) 383-5200 | Lake Gastroenterology Associates Llc 1703 Mayo Dr Tavares FL 32778-4307 Ph: (352) 383-5200 |
| NPI Number | 1972801827 |
|---|---|
| Provider Enumeration Date | 03/02/2011 |
| Last Update Date | 05/04/2011 |
| Medicare PECOS PAC ID | 3173708484 |
|---|---|
| Medicare Enrollment ID | O20110502000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972801827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Deborah L Zeagler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417991746 PECOS PAC ID: 2264411966 Enrollment ID: I20050825000786 |
| Provider Name | Soundarapandian Baskar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952390288 PECOS PAC ID: 4385626068 Enrollment ID: I20051201000123 |
| Provider Name | Bharathi Ramaiah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164411484 PECOS PAC ID: 1355306200 Enrollment ID: I20051201000145 |
| Provider Name | James K Allen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073592812 PECOS PAC ID: 6305855768 Enrollment ID: I20060418000162 |
| Provider Name | Chris Kechriotis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891721627 PECOS PAC ID: 4284698994 Enrollment ID: I20101027000876 |
| Provider Name | Amanda Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831633692 PECOS PAC ID: 3375826191 Enrollment ID: I20170201001812 |
| Provider Name | Chelsy Kay Fazio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942725098 PECOS PAC ID: 0244506624 Enrollment ID: I20171031000649 |
| Provider Name | Genesis Edlin Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104488907 PECOS PAC ID: 9032541636 Enrollment ID: I20191120002010 |
| Provider Name | Caitlin Marie Oris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457972663 PECOS PAC ID: 8325479892 Enrollment ID: I20200518000714 |
| Provider Name | Kristal Dawn Delgiorno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275275729 PECOS PAC ID: 2264829704 Enrollment ID: I20220502000036 |
Companion Health Technologies, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31400 Saunders Dr, Tavares, FL 32778 Phone: 415-342-0577 | |
Celestino Santi Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 E Burleigh Blvd, Tavares, FL 32778 Phone: 352-742-1500 Fax: 352-742-2530 | |
Happy Camper Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Salk Ave, Tavares, FL 32778 Phone: 352-745-6753 | |
Ellis Integrative Family Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1865 Nightingale Ln Ste B, Tavares, FL 32778 Phone: 352-457-1936 | |
Express Care Of Lake County Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Nightingale Ln, Tavares, FL 32778 Phone: 352-742-1500 Fax: 352-742-2530 | |
Keller & Goodman Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1879 Nightingale Ln, Suite C-2, Tavares, FL 32778 Phone: 352-742-7776 Fax: 352-742-7750 | |
Matthew P. Castner, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 407-886-8164 |