| Lakemont Clininc Inc | |
|
1870 Aloma Ave Suite 110 Winter Park FL 32789-4050 | |
| (407) 629-2883 | |
| (407) 629-2883 |
| Full Name | Lakemont Clininc Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1870 Aloma Ave, Winter Park, Florida |
| Authorized Official Name and Position | Timothy Fennell (DIRECTOR) |
| Authorized Official Contact | 4076292883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakemont Clininc Inc 1870 Aloma Ave Suite 110 Winter Park FL 32789-4050 Ph: (407) 629-2883 | Lakemont Clininc Inc 1870 Aloma Ave Suite 110 Winter Park FL 32789-4050 Ph: (407) 629-2883 |
| NPI Number | 1871706093 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871706093 | NPI | - | NPPES |
| 33389 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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