| Lake Sumpter Orthopedic | |
|
3900 Lake Center Dr Ste A2 Mount Dora FL 32757-2203 | |
| (772) 245-8397 | |
| Not Available |
| Full Name | Lake Sumpter Orthopedic |
|---|---|
| Speciality | Clinic/center |
| Location | 3900 Lake Center Dr Ste A2, Mount Dora, Florida |
| Authorized Official Name and Position | Laura Beatty (PRACTICE MANAGER) |
| Authorized Official Contact | 7722458397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Sumpter Orthopedic 8925 Se Bridge Rd Hobe Sound FL 33455-5312 Ph: (772) 245-8397 | Lake Sumpter Orthopedic 3900 Lake Center Dr Ste A2 Mount Dora FL 32757-2203 Ph: (772) 245-8397 |
| NPI Number | 1356832190 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 05/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356832190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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