| Lorin Medical Group LLC | |
|
753 Highway 466 Lady Lake FL 32159-6340 | |
| (407) 487-3550 | |
| (407) 487-3551 |
| Full Name | Lorin Medical Group LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 753 Highway 466, Lady Lake, Florida |
| Authorized Official Name and Position | Ubaldo a Miranda (MD) |
| Authorized Official Contact | 7867250245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorin Medical Group LLC 753 Highway 466 Lady Lake FL 32159-6340 Ph: (407) 487-3550 | Lorin Medical Group LLC 753 Highway 466 Lady Lake FL 32159-6340 Ph: (407) 487-3550 |
| NPI Number | 1659251411 |
|---|---|
| Provider Enumeration Date | 09/03/2025 |
| Last Update Date | 12/11/2025 |
| Certification Date | 12/11/2025 |
| Medicare PECOS PAC ID | 8123593738 |
|---|---|
| Medicare Enrollment ID | O20260411000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659251411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Ubaldo a Miranda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366916231 PECOS PAC ID: 4183817919 Enrollment ID: I20201013002334 |
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