| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1073927331 | CCRC - LAKE PORT SQUARE, LLC | 1920 MAIN ST STE 1200 | IRVINE | CA | 926147230 | |||
| 1407050578 | LAKE HARRIS HEALTH SYSTEMS LLC | 701 LAKE PORT BLVD | LEESBURG | FL | 347487674 | |||
| 1740295476 | LAKE HARRIS HEALTH SYSTEMS LLC | 701 LAKE PORT BLVD | LEESBURG | FL | 347487674 |