South Lake Hospital, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

SOUTH LAKE HOSPITAL, INC.

Practice address

1361 Citrus Tower Blvd Ste 101
Clermont, FL 34711-1943

Phone

(352) 536-8791

NPI assigned

Jul 14, 2026

Organization subpart

No

Name

John Enoch Miller

Title

SVP of Finance

Phone

(321) 843-3180

Tax ID family

South Lake Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Lake Hospital Inc

  • Skilled Nursing Facility
  • Clermont, FL
  • NPI 1124418975
  NPD tax ID

• Orlando Health Cancer Institute Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2026.

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1932028800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 KUHL AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062008",
            "telephone_number": "321-841-5111",
            "fax_number": "407-650-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 CITRUS TOWER BLVD STE 101",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111943",
            "telephone_number": "352-536-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LAKE HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ENOCH",
        "authorized_official_title_or_position": "SVP OF FINANCE",
        "authorized_official_telephone_number": "321-843-3180"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando Health Cancer Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Lake Gastroenterology Inc
• South Lake Hospital Inc
• South Lake Hospital Inc
• South Lake Hospital, Inc.
• South Lake Hospital, Inc.
• South Lake Internal Medicine PA
• South Lake Medical Center Inc
• South Lake Medicine P a
• South Lake Obstetrics & Gynecology, LLC
• South Lake Pain Institute, Inc

• All providers in Clermont, FL
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.