Mount Dora Family Practice PA

NPI #1073639969 in Mount Dora, Florida

Provider Information

NPI Number: 1073639969
Entity Type: Organization
Organization Name: Mount Dora Family Practice PA
Primary Specialty: Family Medicine
Enumeration Date: Mar 22, 2007
Last Updated: Jan 8, 2008

Practice Location

Address: 18540 US HIGHWAY 441
City: Mount Dora
State: Florida
ZIP Code: 32757-6725
Phone: (352) 383-7743

Authorized Official

Name: DR. ROBERT DALE LYNCH, M.D.
Title: OWNER
Phone: (352) 383-7743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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