South Lake Primary Care P a
NPI 1164783528 · Family Medicine Physician · Mascotte, FL
South Lake Primary Care P a is a Family Medicine Physician organization in Mascotte, FL (NPI 1164783528).
Provider details
- NPI number
- 1164783528
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ramon Sueiro, Medical Director(352) 557-4840
- License
- ME0071348 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2012-06-01
- Last updated
- 2013-08-30
Frequently asked questions
- What is South Lake Primary Care P a's NPI number?
- South Lake Primary Care P a's National Provider Identifier (NPI) is 1164783528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Lake Primary Care P a?
- South Lake Primary Care P a is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is South Lake Primary Care P a located?
- South Lake Primary Care P a's practice location on file with NPPES is 219 W Myers Blvd, Mascotte, FL 34753-9793.
- What is South Lake Primary Care P a's phone number?
- The practice phone number listed in the NPPES registry for South Lake Primary Care P a is (352) 557-4840.
- Who is the authorized official for South Lake Primary Care P a?
- The authorized official listed on South Lake Primary Care P a's NPPES record is Ramon Sueiro, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Lake Primary Care P a's NPI active?
- Yes — South Lake Primary Care P a's NPI (1164783528) is active in the NPPES registry as of the last update on 2013-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.