| Lake Mary Family Care P A | |
|
2500 W Lake Mary Blvd Suite 217 Lake Mary FL 32746-3501 | |
| (407) 688-8862 | |
| (407) 688-8868 |
| Full Name | Lake Mary Family Care P A |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 W Lake Mary Blvd, Lake Mary, Florida |
| Authorized Official Name and Position | Michael E Dillehay (PRESIDENT) |
| Authorized Official Contact | 4076888862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Mary Family Care P A 2500 W Lake Mary Blvd Suite 217 Lake Mary FL 32746-3501 Ph: (407) 688-8862 | Lake Mary Family Care P A 2500 W Lake Mary Blvd Suite 217 Lake Mary FL 32746-3501 Ph: (407) 688-8862 |
| NPI Number | 1649346826 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 06/29/2011 |
| Medicare PECOS PAC ID | 3971600024 |
|---|---|
| Medicare Enrollment ID | O20070608000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649346826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME81907 (Florida) | Primary |
| Provider Name | Michael E Dillehay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811000888 PECOS PAC ID: 8729026240 Enrollment ID: I20050425000270 |
| Provider Name | Nancy Arleen Vanhoozer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831516368 PECOS PAC ID: 7719110519 Enrollment ID: I20140501001399 |
| Provider Name | Alejandro Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407256480 PECOS PAC ID: 2668798943 Enrollment ID: I20150304000484 |
| Provider Name | Sabrina Snedaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215423439 PECOS PAC ID: 5991033920 Enrollment ID: I20190828002647 |
| Provider Name | Kelly D Loring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629466792 PECOS PAC ID: 5193041275 Enrollment ID: I20210201001790 |
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