South Lake Arthritis and Rheumatology, LLC
Organization Active NPI Rheumatology Physician · Clermont, FL
NPI 1992269351 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1992269351
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- Legal business name
- SOUTH LAKE ARTHRITIS AND RHEUMATOLOGY, LLC
- Practice address
- 3721 S Hwy 27 Ste B
Clermont, FL 34711-7919 - Phone
- (407) 900-0191
- Fax
- (330) 403-6757
- NPI assigned
- Jan 29, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Usman Tanveer Malik, MD
- Title
- Owner
- Phone
- (612) 607-9564
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240925001590 | FL | Part B Supplier - Clinic/Group Practice | 1153862594 |
Receives reassigned benefits from 1 practitioner Practice locations: Clermont, FL |
National Provider Directory
Locations
3721 S Highway 27
Ste B
Clermont, FL 34711
Phone (352) 255-6130
1745 E Highway 50
Clermont, FL 34711
Phone (352) 537-8868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | Yes |
Addresses
Primary practice location
3721 S Hwy 27 Ste B
Clermont, FL 34711-7919
Mailing address
3721 S Hwy 27 Ste B
Clermont, FL 34711-7919
Phone (612) 607-9564
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9260700 | Medicaid | FL |
Other names
- South Lake Arthritis and Rheumatology
Other providers in Clermont, FL
- Johan Soto Berruz
- Zy A Soto Rodriguez
- Misael Soto
- South Lake Anesthesia Services, P.a.
- South Lake Anesthesia Services, P.a.
- South Lake Cardiology, LLC
- South Lake Chiropractic PA
- South Lake Family Counseling Services
- South Lake Gastroenterology Inc
- South Lake Hospital Inc
All providers in Clermont, FL · Rheumatology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.