South Lake Arthritis and Rheumatology, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

SOUTH LAKE ARTHRITIS AND RHEUMATOLOGY, LLC

Doing business as

South Lake Arthritis and Rheumatology

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

Last updated

Dec 10, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Usman Tanveer Malik, MDNPI 1457520561

Title

Owner

Phone

(612) 607-9564

Specialties & licenses 1

Addresses

Other names 1

• South Lake Arthritis and Rheumatology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Usman Tanveer Malik, MD

  • Rheumatology Physician
  • Clermont, FL
  • NPI 1457520561
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1992269351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 S HWY 27 STE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117919",
            "telephone_number": "612-607-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 S HWY 27 STE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117919",
            "telephone_number": "407-900-0191",
            "fax_number": "330-403-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LAKE ARTHRITIS AND RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "USMAN",
        "authorized_official_middle_name": "TANVEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-607-9564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Lake Arthritis and Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johan Soto Berruz
• Zy A Soto Rodriguez, MD
• 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

• Rheumatology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.