MEDICARE: LAUREN CAMERON FISKE MD

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
1	207RI0200X	Infectious Disease Physician	ME164605	FL
2	207RI0200X	Infectious Disease Physician	0101248979	VA
3	207RI0200X	Infectious Disease Physician	2023-02804	NC
4	207RI0200X	Infectious Disease Physician	0451616	KS

General Provider Information

NPI Number	:	1952509796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN CAMERON FISKE MD

Provider Business Mailing Address
First Line	:	PO BOX 100289
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0277
Country	:	US
Telephone Number	:	352-273-9804
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 NW 35TH AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34475
Country	:	US
Telephone Number	:	352-280-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	12/19/2025

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