Lake Pediatrics PA
Rural health clinic in Mount Dora, FL, Medicare certification number 108915.
Medicare certification
Provider of Services- CCN
- 108915
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Dec 23, 1999
- Last certification
- Feb 15, 2024
- Address
- 4880 N Hwy 19a Ste 200
Mount Dora, FL 32757
(352) 383-8111
NPI records for this facility (CCN to NPI Mapping) 1
-
- Rural Health Clinic/Center
- Mount Dora, FL
- NPI 1942367370
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.