South Lake Ob/Gyn And Advanced Surgery
LBN: South Lake Obstetrics & Gynecology, Llc
South Lake Ob/Gyn And Advanced Surgery is an health care organization with primary practice located at 1900 Don Wickham Dr Ste 120 , Clermont FL 34711-1980. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty.
South Lake Obstetrics & Gynecology, Llc can be contacted via phone (352) 241-7050, or through Casavant, Matthew Stephan via phone (321) 436-8371.
Contact Information
Primary practice address
1900 Don Wickham Dr Ste 120
Clermont FL 34711-1980
Phone: (352) 241-7050
Fax: (352) 241-7035
Website:
Authorized official contact:
Name: Casavant, Matthew Stephan Doctor of Osteopathy (DO)
Phone: (321) 436-8371
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | OS8678 | Florida |
Profile Details
| NPI number | 1497754121 |
|---|---|
| LBN Legal business name | South Lake Obstetrics & Gynecology, Llc |
| DBA Doing business as | South Lake Ob/Gyn And Advanced Surgery |
| Authorized official | Casavant, Matthew Stephan Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Mar 13th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497754121 | NPPES |
| Florida | MEDICAID | 264093700 |
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