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Find providers by NPI
Organization

MEDICAL VENTURES OF AMERICA

Active
Parent organization
LAKE REGIONAL URGENT CARE
Other names
LAKE REGIONAL PRIMARY CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAKE REGIONAL URGENT CARE
Authorized official
GLENDA MARTI (BILLING MANAGER)
(352) 315-1651
Entity
Organization

Contact information

Practice address
16890 US HIGHWAY 441, MOUNT DORA, FL 32757-6705
(352) 315-1651
(352) 315-1703
Mailing address
16890 US HIGHWAY 441, MOUNT DORA, FL 32757-6705
(352) 315-1651
(352) 315-1703

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME77919
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010331500
FL
Enumeration date
09/14/2016
Last updated
10/11/2016
About Stedi
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