Lake Mary Family Care P a

NPI #1649346826 in Lake Mary, Florida

Provider Information

NPI Number: 1649346826
Entity Type: Organization
Organization Name: Lake Mary Family Care P a
Primary Specialty: Family Medicine
Enumeration Date: Nov 28, 2006
Last Updated: Jun 29, 2011

Practice Location

Address: 2500 W LAKE MARY BLVD
Address 2: SUITE 217
City: Lake Mary
State: Florida
ZIP Code: 32746-3501
Phone: (407) 688-8862

Authorized Official

Name: MICHAEL E DILLEHAY, MD
Title: PRESIDENT
Phone: (407) 688-8862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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