| City Of Lake Mary | |
|
170 Seminole Ave Lake Mary FL 32746-2929 | |
| (407) 302-0010 | |
| (419) 425-5410 |
| Full Name | City Of Lake Mary |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 170 Seminole Ave, Lake Mary, Florida |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Lake Mary 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | City Of Lake Mary 170 Seminole Ave Lake Mary FL 32746-2929 Ph: (407) 302-0010 |
| NPI Number | 1780358838 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780358838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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