1174719082 LAKE MARY FAMILY PHYSICIANS P.A.

Exclusive Provider Organization

Active

Basic Information

Organization Name
LAKE MARY FAMILY PHYSICIANS P.A.
Enumeration Date
September 25, 2007
Last Update
July 7, 2009
Authorized Official
MS. LEAH M SUTPHIN
BILLING MANAGER
Phone: (407) 829-8960

Practice Location

Address
910 WILLISTON PARK PT
SUITE 2050
LAKE MARY, FL 327462172
Phone
(407) 829-8960
Fax
(407) 829-8978

Mailing Address

Address
910 WILLISTON PARK PT
SUITE 2050
LAKE MARY, FL 327462172
Phone
(407) 829-8960
Fax
(407) 829-8978

Specialties & Taxonomies

Specialty Code Classification License State Primary
Nurse Practitioner
363L00000X Nurse Practitioner ARNP1103432 FL No
Exclusive Provider Organization
302F00000X Exclusive Provider Organization ME88467, ME88578 FL Primary

Other Identifiers

Identifier Type State Issuer
94986 01 FL BCBS OF FLORIDA
K8696 01 FL MEDICARE GROUP NUMBER

Frequently Asked Questions

What is LAKE MARY FAMILY PHYSICIANS P.A.'s NPI number?
LAKE MARY FAMILY PHYSICIANS P.A.'s NPI number is 1174719082.
Which doctor has NPI number 1174719082?
The doctor with NPI number 1174719082 is LAKE MARY FAMILY PHYSICIANS P.A..
What is LAKE MARY FAMILY PHYSICIANS P.A.'s practice address?
LAKE MARY FAMILY PHYSICIANS P.A.'s practice address is 910 WILLISTON PARK PT, SUITE 2050, LAKE MARY, FL, 327462172.
Which doctor practices at 910 WILLISTON PARK PT, SUITE 2050, LAKE MARY, FL, 327462172?
LAKE MARY FAMILY PHYSICIANS P.A. practices at 910 WILLISTON PARK PT, SUITE 2050, LAKE MARY, FL, 327462172.
What is LAKE MARY FAMILY PHYSICIANS P.A.'s phone number?
LAKE MARY FAMILY PHYSICIANS P.A.'s phone number is (407) 829-8960.
Who is (407) 829-8960?
(407) 829-8960 is the phone number for LAKE MARY FAMILY PHYSICIANS P.A..
What is LAKE MARY FAMILY PHYSICIANS P.A.'s specialty?
LAKE MARY FAMILY PHYSICIANS P.A.'s specialty is Exclusive Provider Organization.
What type of doctor is LAKE MARY FAMILY PHYSICIANS P.A.?
LAKE MARY FAMILY PHYSICIANS P.A. is a Exclusive Provider Organization.
Is LAKE MARY FAMILY PHYSICIANS P.A. a Exclusive Provider Organization?
Yes, LAKE MARY FAMILY PHYSICIANS P.A. is a Exclusive Provider Organization.
Is LAKE MARY FAMILY PHYSICIANS P.A. still practicing?
Yes, LAKE MARY FAMILY PHYSICIANS P.A. is currently practicing.
Is LAKE MARY FAMILY PHYSICIANS P.A. accepting new patients?
LAKE MARY FAMILY PHYSICIANS P.A. may be accepting new patients. Please call their office at (407) 829-8960 to inquire about availability.
Is NPI 1174719082 still active?
Yes, NPI 1174719082 is currently active.
Where does LAKE MARY FAMILY PHYSICIANS P.A. practice?
LAKE MARY FAMILY PHYSICIANS P.A. practices in LAKE MARY, FL.