Organization
MEDICAL VENTURES OF AMERICA
Active
Other names
LAKE REGIONAL URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND DOMINICK MD (OWNER)
(352) 750-5501
Entity
Organization
Contact information
Practice address
8404 US HIGHWAY 441, LEESBURG, FL 34788-4016
(352) 351-8881
Mailing address
PO BOX 1746, LADY LAKE, FL 32158-1746
(352) 750-5501
(352) 750-5029
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34537
BLS PROV NUMBER
FL
01
—
B902B
BLUE SHIELD PROVIDER #
FL
Enumeration date
05/12/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us