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Organization

ADULT MEDICINE OF LAKE COUNTY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY NAGEL M.D. (PRESIDENT)
(352) 383-8222
Entity
Organization

Contact information

Practice address
3619 LAKE CENTER DR, MOUNT DORA, FL 32757-2364
(352) 383-8222
(352) 383-1420
Mailing address
3619 LAKE CENTER DR, MOUNT DORA, FL 32757-2364
(352) 383-8222
(352) 383-1420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
12/08/2006
Last updated
11/04/2024
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