OrganizationActive
Internal Medicine of Lake City PA
NPI 1285822981 · Primary Care Clinic/Center · Lake City, FL
Provider details
- NPI number
- 1285822981
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shammi Bali, President(386) 755-1703
- License
- BB6375477 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
289 Sw Stonegate Ter
Suite 104
Lake City, FL 32024-3456
Phone: (386) 755-1703
Fax: (386) 755-1744
Street-level locationGet directions
Mailing address
289 Sw Stonegate Ter
Lake City, FL 32024-3456
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2013-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.