| Lake County Primary Medical Care Llc | |
|
33 N Center St Suite A Eustis FL 32726-3580 | |
| (352) 357-0880 | |
| (352) 357-0334 |
| Full Name | Lake County Primary Medical Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 33 N Center St, Eustis, Florida |
| Authorized Official Name and Position | Sujatha Baskar (OWNER) |
| Authorized Official Contact | 3523570880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Primary Medical Care Llc 33 N Center St Suite A Eustis FL 32726-3580 Ph: (352) 357-0880 | Lake County Primary Medical Care Llc 33 N Center St Suite A Eustis FL 32726-3580 Ph: (352) 357-0880 |
| NPI Number | 1568451888 |
|---|---|
| Provider Enumeration Date | 10/19/2005 |
| Last Update Date | 12/31/2012 |
| Medicare PECOS PAC ID | 6901826031 |
|---|---|
| Medicare Enrollment ID | O20051202000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568451888 | NPI | - | NPPES |
| 274014100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sujatha Baskar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699764910 PECOS PAC ID: 9638199763 Enrollment ID: I20051205000432 |
Flower Of The Lake Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 N Bay St, Suite 5, Eustis, FL 32726 Phone: 352-357-7200 Fax: 352-357-7100 | |
Sharon Nickell-olm M D Family Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 Prevatt St, Eustis, FL 32726 Phone: 352-357-2600 Fax: 352-357-3400 | |
Floyd S Dillard Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 N Bay St, Eustis, FL 32726 Phone: 352-357-6500 Fax: 352-357-9136 | |
Findley Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 E Atwater Ave, Eustis, FL 32726 Phone: 352-482-0900 | |
Findlay Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Atwater Ave, Eustis, FL 32726 Phone: 352-483-0900 Fax: 352-483-0822 | |
Village Medical - Eustis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Ardice Ave, Eustis, FL 32726 Phone: 407-798-8800 | |
Alo Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 S Eustis St, Eustis, FL 32726 Phone: 352-589-9661 Fax: 352-589-5983 |