# LAKE NONA MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285296798
- **Authorized official:** CATHERINE M AREVALO MD (MD)
- **Authorized official phone:** (561) 574-9186

## Contact information

- **Practice address:** 115 E LANCASTER RD, ORLANDO, FL 32809-6689
- **Practice address phone:** (407) 378-6686
- **Practice address fax:** (407) 378-4633
- **Mailing address:** 115 E LANCASTER RD, ORLANDO, FL 32809-6689
- **Mailing address phone:** (407) 378-6686
- **Mailing address fax:** (407) 378-4633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2019
- **Last updated:** 07/25/2019