| Northside Family Practice, Inc. | |
|
1718 Lexington Green Ln Sanford FL 32771-1018 | |
| (407) 268-9661 | |
| (407) 268-9664 |
| Full Name | Northside Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1718 Lexington Green Ln, Sanford, 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 |
|---|---|
| Northside Family Practice, Inc. 320 W Sabal Palm Pl Suite 300 Longwood FL 32779-3639 Ph: (407) 260-1137 | Northside Family Practice, Inc. 1718 Lexington Green Ln Sanford FL 32771-1018 Ph: (407) 268-9661 |
| NPI Number | 1942245550 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 10/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942245550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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