| South Lake Hospital Inc | |
|
1900 Don Wickham Dr Clermont FL 34711-1979 | |
| (352) 241-7275 | |
| (352) 241-7281 |
| Full Name | South Lake Hospital Inc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 1900 Don Wickham Dr, Clermont, Florida |
| Authorized Official Name and Position | Leslie Longacre (VICE PRESIDENT) |
| Authorized Official Contact | 4072376393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Lake Hospital Inc 1900 Don Wickham Dr Clermont FL 34711-1979 Ph: (352) 241-7275 | South Lake Hospital Inc 1900 Don Wickham Dr Clermont FL 34711-1979 Ph: (352) 241-7275 |
| NPI Number | 1265615124 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 08/25/2014 |
| Medicare PECOS PAC ID | 6901718931 |
|---|---|
| Medicare Enrollment ID | O20081220000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265615124 | NPI | - | NPPES |
| Provider Name | Sijo J Parekattil |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417908013 PECOS PAC ID: 3971539834 Enrollment ID: I20050712000627 |
| Provider Name | Andrew Karen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124008172 PECOS PAC ID: 7214944768 Enrollment ID: I20090403000406 |
| Provider Name | Manuel L Herrera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255582805 PECOS PAC ID: 3274665575 Enrollment ID: I20100722000511 |
| Provider Name | Sindhu Jacob |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265540827 PECOS PAC ID: 5698709624 Enrollment ID: I20120118000639 |
| Provider Name | Jamin V Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073714267 PECOS PAC ID: 7315197266 Enrollment ID: I20121030000494 |
| Provider Name | Mary Romain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598085169 PECOS PAC ID: 4183757214 Enrollment ID: I20151110003003 |
| Provider Name | Nahomy Calixte |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033401625 PECOS PAC ID: 2567754690 Enrollment ID: I20160712000136 |
| Provider Name | Teresa Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932563202 PECOS PAC ID: 7719270362 Enrollment ID: I20160720001372 |
| Provider Name | Albert J Enriquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306821590 PECOS PAC ID: 9931277415 Enrollment ID: I20171220001934 |
| Provider Name | Amir Homayoun Fazeli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558646877 PECOS PAC ID: 4183987092 Enrollment ID: I20180405002383 |
| Provider Name | Jacqueline Griffiths |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639647076 PECOS PAC ID: 6507101755 Enrollment ID: I20181217002885 |
Medical Home Alliance Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-404-8108 Fax: 352-404-8647 | |
Florida Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Citrus Tower Blvd, Suite 206, Clermont, FL 34711 Phone: 352-242-9600 Fax: 352-242-9605 | |
Compassionate Health Of Clermont Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9350 Us Highway 192 Ste 104, Clermont, FL 34714 Phone: 863-256-5206 Fax: 863-913-0534 | |
Mary Rose Boehm Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 E Highland Ave, Suite #2, Clermont, FL 34711 Phone: 352-242-1430 Fax: 352-242-1452 | |
South Lake Primary Care P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1503 Sunrise Plaza Dr, Clermont, FL 34714 Phone: 352-243-3800 Fax: 352-243-3804 | |
Osteoporosis And Arthritis Advanced Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3721 S Hwy 27 Ste B, Clermont, FL 34711 Phone: 407-355-7759 Fax: 407-355-4987 | |
Clermont Cardiac Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 E. State Road 50, Suite A, Clermont, FL 34711 Phone: 352-243-3517 |