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Contact Information

SOUTH LAKE HOSPITAL INC
2145 DON WICKHAM DR
CLERMONT, FL34711
 Phone: 352-536-8787
 Fax: 352-241-7124
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for SOUTH LAKE HOSPITAL INC

NPI Number 1124418975
LBN Legal business name SOUTH LAKE HOSPITAL INC
Authorized official LANCE SEWELL - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2015
Last updated 06/05/2018 - About 8 years ago
Identifiers
FL License # 4180
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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