OrganizationActive
Medical Ventures of America
NPI 1053869487 · Legal Medicine · Mount Dora, FL
Provider details
- NPI number
- 1053869487
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Parent organization
- Lake Regional Urgent Care
- Organization subpart
- Yes
- Authorized official
- Glenda Marti, Billing Manager(352) 315-1651
- License
- ME77919 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16890 US Highway 441
Mount Dora, FL 32757-6705
Phone: (352) 315-1651
Fax: (352) 315-1703
Street-level locationGet directions
Mailing address
16890 US Highway 441
Mount Dora, FL 32757-6705
Other names (DBA / former)
- Doing business as
- Lake Regional Primary Care
Registry dates
- Enumerated
- 2016-09-14
- Last updated
- 2016-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.