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NPI Code Detail

MEDICARE: LAKE POINT MEDICAL ASSOCIATES INC

MEDICARE: LAKE POINT MEDICAL ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1902955115
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKE POINT MEDICAL ASSOCIATES INC
Provider Business Mailing Address
First Line : 3375 WEDGEWOOD LN
Second Line :
City : THE VILLAGES
State : FL
Zip : 32162-7181
Country : US
Telephone Number : 352-753-5522
Fax Number :
Provider Business Practice Location Address
First Line : 3375 WEDGEWOOD LN
Second Line :
City : THE VILLAGES
State : FL
Zip : 32162-7181
Country : US
Telephone Number : 352-753-5522
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. SRINIVAS R REDDY
Credential : MD
Telephone Number : 352-753-5522
Provider Enumeration Date : 01/09/2007
Last Update Date : 09/07/2023

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Directions to “LAKE POINT MEDICAL ASSOCIATES INC ” Practice Location

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