Lake Mary Family Medicine, Inc.

NPI #1881631778 in Lake Mary, Florida

Provider Information

NPI Number: 1881631778
Entity Type: Organization
Organization Name: Lake Mary Family Medicine, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jun 1, 2006
Last Updated: Oct 20, 2010

Practice Location

Address: 109 TIMBERLACHEN CIR
City: Lake Mary
State: Florida
ZIP Code: 32746-3395
Phone: (407) 333-9877

Authorized Official

Name: MR. SUREE VYAS
Title: ADMINISTRATOR
Phone: (407) 830-1975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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