| Flower Of The Lake Family Practice Pa | |
|
720 N Bay St Suite 5 Eustis FL 32726-2964 | |
| (352) 357-7200 | |
| (352) 357-7100 |
| Full Name | Flower Of The Lake Family Practice Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 720 N Bay St, Eustis, Florida |
| Authorized Official Name and Position | Margaret Hayden (PRESIDENT) |
| Authorized Official Contact | 3523577200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flower Of The Lake Family Practice Pa 720 N Bay St Suite 5 Eustis FL 32726-2964 Ph: (352) 357-7200 | Flower Of The Lake Family Practice Pa 720 N Bay St Suite 5 Eustis FL 32726-2964 Ph: (352) 357-7200 |
| NPI Number | 1023347648 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 08/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023347648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OS6731 (Florida) | Primary |
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