LAKE MARY FAMILY PHYSICIANS P.A.

Exclusive Provider Organization

Active Organization
NPI: 1174719082

Practice Address

910 WILLISTON PARK PT
SUITE 2050
Lake Mary, FL 32746

Phone: (407) 829-8960

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No ARNP1103432 (FL)
Exclusive Provider Organization 302F00000X Yes ME88467, ME88578 (FL)

Frequently Asked Questions

NPI 1174719082 is the National Provider Identifier for LAKE MARY FAMILY PHYSICIANS P.A., a Exclusive Provider Organization provider located in Lake Mary, FL. This NPI was enumerated on September 25, 2007.

Quick Facts

NPI
1174719082
Type
Organization
Enumerated
Sep 25, 2007
Last Updated
Jul 7, 2009

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