| South Lake Medical Center Inc | |
|
1950 Hospital View Way Clermont FL 34711-1926 | |
| (352) 243-3443 | |
| (352) 243-3044 |
| Full Name | South Lake Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1950 Hospital View Way, Clermont, Florida |
| Authorized Official Name and Position | Shazia Nasir (OWNER) |
| Authorized Official Contact | 3522433443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Lake Medical Center Inc Po Box 754 Minneola FL 34755-0754 Ph: (352) 243-3443 | South Lake Medical Center Inc 1950 Hospital View Way Clermont FL 34711-1926 Ph: (352) 243-3443 |
| NPI Number | 1144414038 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 07/28/2015 |
| Medicare PECOS PAC ID | 2264521749 |
|---|---|
| Medicare Enrollment ID | O20071207000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144414038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME88336 (Florida) | Primary |
| Provider Name | Shazia Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538256953 PECOS PAC ID: 2466496575 Enrollment ID: I20050620000040 |
| Provider Name | Teresa M Karcsmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134312200 PECOS PAC ID: 9537398938 Enrollment ID: I20150325000437 |
| Provider Name | Jessica Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861876856 PECOS PAC ID: 8426320904 Enrollment ID: I20170817002601 |
| Provider Name | Amelia Lucille Perry Egerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447722046 PECOS PAC ID: 2668713587 Enrollment ID: I20190402002557 |
| Provider Name | Lindsay Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609484609 PECOS PAC ID: 7214341031 Enrollment ID: I20210205001143 |
| Provider Name | Ayan Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124656459 PECOS PAC ID: 9830510411 Enrollment ID: I20230720003901 |
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 |