Lake Mary Family Medicine, Inc. | |
109 Timberlachen Cir Lake Mary FL 32746-3395 | |
(407) 333-9877 | |
(407) 333-9881 |
Full Name | Lake Mary Family Medicine, Inc. |
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Speciality | Family Medicine |
Location | 109 Timberlachen Cir, Lake Mary, Florida |
Authorized Official Name and Position | Suree Vyas (ADMINISTRATOR) |
Authorized Official Contact | 4078301975 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lake Mary Family Medicine, Inc. 320 W Sabal Palm Pl Suite 300 Longwood FL 32779-3639 Ph: (407) 260-1137 | Lake Mary Family Medicine, Inc. 109 Timberlachen Cir Lake Mary FL 32746-3395 Ph: (407) 333-9877 |
NPI Number | 1881631778 |
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Provider Enumeration Date | 06/01/2006 |
Last Update Date | 10/20/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881631778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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