Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Lake Pediatrics, PA

Organization Pediatrics Physician · NPI 1699076901

South Lake Pediatrics, PA provides Pediatrics Physician services in Clermont, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3155 Citrus Tower Blvd Bldg.# 1
Clermont, FL 34711-6803 Not confirmed with CMS for 15 years — call before visiting
Phone: (352) 242-1500
Fax: (352) 242-0053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME073750 (FL)

Record details

NPI number1699076901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adinarayanamurthy Nallamshetty — President · (352) 242-1500
NPI enumeratedNovember 3, 2010
Last updated in NPPESNovember 3, 2010
Mailing address3155 Citrus Tower Blvd, Bldg.# 1, Clermont, FL 34711-6803

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