Organization
LAKE SUMTER UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA MARELLA MD (OWNER AND AO)
(352) 775-6899
Entity
Organization
Contact information
Practice address
808 HIGHWAY 466, LADY LAKE, FL 32159-3918
(352) 775-6899
(877) 319-1879
Mailing address
808 HIGHWAY 466, LADY LAKE, FL 32159-3918
(352) 775-6899
(877) 319-1879
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
11/22/2023
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