Organization
SOUTH LAKE HOSPITAL, INC.
Active
Other names
Orlando Health South Lake Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE TYNES NAPIER (CHIEF REVENUE OFFICER)
(407) 650-3763
Entity
Organization
Contact information
Practice address
1900 DON WICKHAM DR, CLERMONT, FL 34711-1947
(352) 394-4071
Mailing address
1414 KUHL AVE, ORLANDO, FL 32806-2008
(321) 841-5111
(407) 650-3785
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010108700
—
FL
05
—
020022100
—
FL
01
—
314
BCBS
FL
Enumeration date
10/20/2006
Last updated
12/09/2025
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