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NPI Code Detail

MEDICARE: CLERMONT MEDICAL CENTER PA

MEDICARE: CLERMONT MEDICAL CENTER PA
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1861557357
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLERMONT MEDICAL CENTER PA
Provider Business Mailing Address
First Line : 3755 S US HWY 27
Second Line :
City : CLERMONT
State : FL
Zip : 34711
Country : US
Telephone Number : 352-394-4035
Fax Number : 352-394-8585
Provider Business Practice Location Address
First Line : 3755 S US HWY 27
Second Line :
City : CLERMONT
State : FL
Zip : 34711
Country : US
Telephone Number : 352-394-4035
Fax Number : 352-394-8585
Authorized Official
Title or Position : OFFICE MANAGER
Name : TARYN BRENNEIS
Credential :
Telephone Number : 352-602-3456
Provider Enumeration Date : 12/26/2006
Last Update Date : 06/22/2026

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Practice Fax:
1306328067 — MRS. SHAUNAGH DIANA COOK APRN, FNP-C
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1386076321 — KELLEY WINFREY DO
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1396034526 — GARY MICHAEL WINFREY D.O.
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1396762126 — DR. CHRISTOPHER JOSEPH GUZIK SR. DO
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1669132445 — LAURA PAIGE APRN-C
Practice Location Address:
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Practice Fax: 352-394-8585

Directions to “CLERMONT MEDICAL CENTER PA ” Practice Location

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