OrganizationActive
South Lake Pediatrics, P.A.
NPI 1699076901 · Pediatrics Physician · Clermont, FL
South Lake Pediatrics, P.A. is a Pediatrics Physician organization in Clermont, FL (NPI 1699076901).
Provider details
- NPI number
- 1699076901
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adinarayanamurthy Nallamshetty, President(352) 242-1500
- License
- ME073750 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
3155 Citrus Tower Blvd
Bldg.# 1
Clermont, FL 34711-6803
Phone: (352) 242-1500
Fax: (352) 242-0053
Approximate (ZIP-level) locationGet directions
Mailing address
3155 Citrus Tower Blvd
Clermont, FL 34711-6803
Registry dates
- Enumerated
- 2010-11-03
- Last updated
- 2010-11-03
Frequently asked questions
- What is South Lake Pediatrics, P.A.'s NPI number?
- South Lake Pediatrics, P.A.'s National Provider Identifier (NPI) is 1699076901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Lake Pediatrics, P.A.?
- South Lake Pediatrics, P.A. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is South Lake Pediatrics, P.A. located?
- South Lake Pediatrics, P.A.'s practice location on file with NPPES is 3155 Citrus Tower Blvd, Clermont, FL 34711-6803.
- What is South Lake Pediatrics, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for South Lake Pediatrics, P.A. is (352) 242-1500.
- Who is the authorized official for South Lake Pediatrics, P.A.?
- The authorized official listed on South Lake Pediatrics, P.A.'s NPPES record is Adinarayanamurthy Nallamshetty, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Lake Pediatrics, P.A.'s NPI active?
- Yes — South Lake Pediatrics, P.A.'s NPI (1699076901) is active in the NPPES registry as of the last update on 2010-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.