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Organization
ADULT MEDICINE OF LAKE COUNTY INC
Active
Organization
ADULT MEDICINE OF LAKE COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY NAGEL M.D. (PRESIDENT)
(352) 383-8222
Entity
Organization
Contact information
Practice address
3619 LAKE CENTER DR, MOUNT DORA, FL 32757-2364
(352) 383-8222
(352) 383-1420
Mailing address
3619 LAKE CENTER DR, MOUNT DORA, FL 32757-2364
(352) 383-8222
(352) 383-1420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
11/04/2024
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