Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

South Lake Gastroenterology Inc

Organization Specialist · NPI 1467647685

South Lake Gastroenterology Inc provides Specialist services in Clermont, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2040 Oakley Seaver Dr
Clermont, FL 34711-1962 Not confirmed with CMS for 12 years — call before visiting
Phone: (352) 242-1665
Fax: (352) 243-1649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME74082 (FL)

Record details

NPI number1467647685
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramesh Rampersad — Administrator · (352) 242-1665
NPI enumeratedSeptember 11, 2007
Last updated in NPPESJuly 18, 2014
Mailing addressPo Box 120930, Clermont, FL 34712-0930

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