| Infectious Disease Of Lake County,llc | |
|
2050 Classique Ln Tavares FL 32778-5787 | |
| (352) 835-2391 | |
| Not Available |
| Full Name | Infectious Disease Of Lake County,llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2050 Classique Ln, Tavares, Florida |
| Authorized Official Name and Position | Yulisa Astudillo (MANAGER) |
| Authorized Official Contact | 3528352391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Of Lake County,llc 2050 Classique Ln Tavares FL 32778-5787 Ph: () - | Infectious Disease Of Lake County,llc 2050 Classique Ln Tavares FL 32778-5787 Ph: (352) 835-2391 |
| NPI Number | 1639636897 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 02/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639636897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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