South Lake Hospital Inc
NPI 1265615124ActiveOrganization· Obstetrics & Gynecology· Clermont, FL
Obstetrics & Gynecology in Clermont, Florida, registered in NPPES in December 2007. The authorized official on file is Leslie Longacre, Vice President.
Overview
| NPI | 1265615124 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2007 |
| Last updated in NPPES | Aug 25, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | — | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — | — |
| Urology | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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