SOUTH LAKE HOSPITAL INC – Obstetrics & Gynecology Physician, NPI 1265615124

SOUTH LAKE HOSPITAL INC is a healthcare provider. based in Clermont, Florida. specializing in Obstetrics & Gynecology Physician. The NPI Number for SOUTH LAKE HOSPITAL INC is 1265615124

Main info

Organization
Name
SOUTH LAKE HOSPITAL INC
NPI
1265615124
Phone
(352) 241-7275
Address
1900 DON WICKHAM DR
Authorized Official
LESLIE LONGACRE VICE PRESIDENT
Enumeration Date
13 December 2007
Last Update Date
25 August 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for SOUTH LAKE HOSPITAL INC

  • South Lake Hospital, 1900, Don Wickham Drive, Clermont, Lake County, Florida, 34711, United States

    CLERMONT, FL 347111979

    Phone: (352) 241-7275

    Fax: (352) 241-7281

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34711)

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Reviews

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Frequently asked questions

Is there an official ID for SOUTH LAKE HOSPITAL INC in U.S. healthcare records?
The official identifier for SOUTH LAKE HOSPITAL INC is NPI 1265615124.
Is SOUTH LAKE HOSPITAL INC still an active registrant?
SOUTH LAKE HOSPITAL INC carries an active NPI according to the public dataset.
How would a patient describe SOUTH LAKE HOSPITAL INC's focus?
For SOUTH LAKE HOSPITAL INC, the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SOUTH LAKE HOSPITAL INC?
Travel planning: use Clermont, Florida as the reference point for SOUTH LAKE HOSPITAL INC, then confirm.
Can I trust this NPI listing for SOUTH LAKE HOSPITAL INC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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