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Organization
SOUTH LAKE MEDICAL CENTER INC
Active
Organization
SOUTH LAKE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZIA NASIR M.D. (OWNER)
(352) 243-3443
Entity
Organization
Contact information
Practice address
1950 HOSPITAL VIEW WAY, CLERMONT, FL 34711-1926
(352) 243-3443
(352) 243-3044
Mailing address
PO BOX 754, MINNEOLA, FL 34755-0754
(352) 243-3443
(352) 243-3044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME88336
FL
Other
Enumeration date
09/04/2007
Last updated
07/28/2015
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