Lake Family Practice

NPI #1033651971 in Orlando, Florida

Provider Information

NPI Number: 1033651971
Entity Type: Organization
Organization Name: Lake Family Practice
Primary Specialty: Specialist
Enumeration Date: Nov 9, 2016
Last Updated: Nov 9, 2016

Practice Location

Address: 1317 N PINE HILLS RD
City: Orlando
State: Florida
ZIP Code: 32808-4833
Phone: (407) 532-4615

Authorized Official

Name: MS. ANITA MADRAY
Title: OWNER
Phone: (352) 242-4816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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