Lake Rheumatology
NPI 1295916476ActiveOrganization· Internal Medicine, Rheumatology· Tavares, FL
Internal Medicine, Rheumatology in Tavares, Florida, registered in NPPES in November 2007. The authorized official on file is Selina De Leon Bowers, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295916476 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2007 |
| Last updated in NPPES | Aug 7, 2026 |
| Certified by provider | Aug 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | ME0045588 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other rheumatologists in Tavares
- 1558346262