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South Lake Pediatrics, P.A.

Pediatrics Physician in Clermont, FL · enumerated 2010 · authorized official Adinarayanamurthy Nallamshetty, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699076901

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Registry record

Entity type Organization (Type 2)
Legal business name South Lake Pediatrics, P.A.
Practice address 3155 Citrus Tower Blvd, Bldg.# 1, Clermont, FL, 34711
Fax (352) 242-0053
Enumeration date Nov 3, 2010
Last updated in NPPES Nov 3, 2010

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License ME073750 (FL) Primary

Authorized official

Name Adinarayanamurthy Nallamshetty
Title President

Other identifiers

Identifier Type State Issuer
260240700 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is South Lake Pediatrics, P.A.?
South Lake Pediatrics, P.A. is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-03.