Lake Family Medicine & Imaging

LBN: Lake Family Medicine & Imaging
Lake Family Medicine & Imaging is an health care organization with primary practice located at 1403 Medical Plaza Dr Ste 100 , Sanford FL 32771-1085. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lake Family Medicine & Imaging can be contacted via phone (407) 559-5100, or through Kandavanam, Raj via phone (407) 559-5100.

Contact Information

Primary practice address
1403 Medical Plaza Dr Ste 100 Sanford FL 32771-1085
Fax: (407) 559-5110
Website:
Authorized official contact:
Name: Kandavanam, Raj

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1164018743
LBN Legal business name Lake Family Medicine & Imaging
DBA Doing business as
Authorized official Kandavanam, Raj
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2020
Last updated Dec 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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