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Organization
LAKEVIEW HEALTHCARE SYSTEM, LLC
Active
Organization
LAKEVIEW HEALTHCARE SYSTEM, LLC
Active
Other names
Lakeview Internal Medicine, PA
Organization subpart
No
Provider details
NPI number
Authorized official
KHAI SHENG CHANG M.D. (PRESIDENT)
(352) 735-3755
Entity
Organization
Contact information
Practice address
10250 SE 167TH PLACE ROAD, SUITE 5, SUMMERFIELD, FL 34491-8632
(352) 307-9925
(352) 385-0033
Mailing address
10250 SE 167TH PLACE RD UNIT 5, SUMMERFIELD, FL 34491-8682
(352) 307-9925
(352) 385-0033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265426100
—
FL
Enumeration date
08/31/2007
Last updated
11/11/2021
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