East Lake Medical Clinic

NPI: 1790124741

East Lake Medical Clinic

Q: What is East Lake Medical Clinic's NPI number?

East Lake Medical Clinic's NPI number is 1790124741, a unique 10-digit identifier issued by CMS.

Q: What does East Lake Medical Clinic specialize in?

East Lake Medical Clinic specializes in Specialty not listed, taxonomy code 261QP2300X.

Q: Where does East Lake Medical Clinic practice?

East Lake Medical Clinic practices in Saint Cloud, FL 34769-1400.

Q: When was East Lake Medical Clinic's NPI issued?

East Lake Medical Clinic's NPI was issued on June 21, 2013.

Q: What is East Lake Medical Clinic's provider type?

East Lake Medical Clinic is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: June 21, 2013

Quick Facts

NPI Number

1790124741

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy261QP2300X — Specialty not listed

Phone

(407) 705-3222

StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1790124741)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (June 21, 2013)

Data source: CMS NPPES

Provider Overview

EAST LAKE MEDICAL CLINIC is a Healthcare provider based in Saint Cloud, FL who has been registered with CMS since 2013. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790124741

Provider TypeOrganization

StatusActive

Enumeration DateJune 21, 2013

Practice Location

CitySaint Cloud

StateFL

ZIP Code34769-1400

Phone(407) 705-3222

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code261QP2300X

License StateFL

Mailing Address

CitySaint Cloud

StateFL

ZIP Code34769-1400

Phone(407) 705-3222

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1790124741 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790124741for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790124741 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →

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Specialty not listed Providers in the US