OrganizationActive
Lake Neurology Clinic, P.A.
NPI 1700958600 · Specialist · Leesburg, FL
Lake Neurology Clinic, P.A. is a Specialist organization in Leesburg, FL (NPI 1700958600).
Provider details
- NPI number
- 1700958600
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Marilyn Glover, Office Manager(352) 360-1122
- License
- ME76490 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
608 S 9th Street
Ste a
Leesburg, FL 34748
Phone: (352) 360-1122
Fax: (352) 360-1123
Street-level locationGet directions
Mailing address
Po Box 490123
Leesburg, FL 34749-0123
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2010-03-05
Frequently asked questions
- What is Lake Neurology Clinic, P.A.'s NPI number?
- Lake Neurology Clinic, P.A.'s National Provider Identifier (NPI) is 1700958600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Neurology Clinic, P.A.?
- Lake Neurology Clinic, P.A. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lake Neurology Clinic, P.A. located?
- Lake Neurology Clinic, P.A.'s practice location on file with NPPES is 608 S 9th Street, Leesburg, FL 34748.
- What is Lake Neurology Clinic, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Neurology Clinic, P.A. is (352) 360-1122.
- Who is the authorized official for Lake Neurology Clinic, P.A.?
- The authorized official listed on Lake Neurology Clinic, P.A.'s NPPES record is Marilyn Glover, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Neurology Clinic, P.A.'s NPI active?
- Yes — Lake Neurology Clinic, P.A.'s NPI (1700958600) is active in the NPPES registry as of the last update on 2010-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.