NPI 1033651971

Lake Family Practice

Organisation Specialist Orlando, FL

Practice location

Address: 1317 N Pine Hills Rd, Orlando, FL 32808-4833
Phone: (407) 532-4615
Fax: (407) 286-2985

Authorised official

Name: Anita Madray
Title: Owner
Phone: (352) 242-4816

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1033651971
Entity type: Organization
NPI issued: 9 Nov 2016
Record last updated: 9 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.