South Lake Primary Care P A in Clermont, FL

South Lake Primary Care P A is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Clermont, Florida. The current practice location for South Lake Primary Care P A is 1503 Sunrise Plaza Dr, Clermont, Florida. For appointments, you can reach them via phone at (352) 243-3800. The mailing address for South Lake Primary Care P A is 1503 Sunrise Plaza Dr, Clermont, Florida and phone number is (352) 243-3800.

South Lake Primary Care P A is licensed to practice in Florida (license number ME0071348). The clinic also participates in the medicare program and its NPI number is 1053613232. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (352) 243-3800.

Contact Information

	South Lake Primary Care P A
	1503 Sunrise Plaza Dr Clermont FL 34714-6200
	(352) 243-3800
	(352) 243-3804

Map and Direction

Primary Care Clinic Profile

Full Name	South Lake Primary Care P A
Speciality	Clinic/Center
Location	1503 Sunrise Plaza Dr, Clermont, Florida
Authorized Official Name and Position	Ramon Sueiro (MD)
Authorized Official Contact	3522433800
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
South Lake Primary Care P A 1503 Sunrise Plaza Dr Clermont FL 34714-6200 Ph: (352) 243-3800	South Lake Primary Care P A 1503 Sunrise Plaza Dr Clermont FL 34714-6200 Ph: (352) 243-3800

NPI Details:

NPI Number	1053613232
Provider Enumeration Date	11/22/2010
Last Update Date	08/30/2013

Medicare PECOS Information:

Medicare PECOS PAC ID	0840487021
Medicare Enrollment ID	O20101214000808

Medical Identifiers

Medical identifiers for South Lake Primary Care P A such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053613232	NPI	-	NPPES
250594100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	ME0071348 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. South Lake Primary Care P A acts as a billing entity for following providers:

Provider Name	Ramon Sueiro
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1790854560 PECOS PAC ID: 6507053626 Enrollment ID: I20101215000053

Reviews and Comments

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South Lake Primary Care P A - Medicare Primary Care in Clermont, FL