Organization
LAKE SUMPTER ORTHOPEDIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BEATTY (PRACTICE MANAGER)
(772) 245-8397
Entity
Organization
Contact information
Practice address
3900 LAKE CENTER DR STE A2, MOUNT DORA, FL 32757-2203
(772) 245-8397
Mailing address
8925 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
(772) 245-8397
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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