Lake Mary Family Physicians P.A.
LBN: Lake Mary Family Physicians P.A.
Lake Mary Family Physicians P.A. is an health care organization with primary practice located at 910 Williston Park Pt Suite 2050, Lake Mary FL 32746-2172. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Exclusive Provider Organization, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Managed Care Organizations / Exclusive Provider Organization is the primary health care specialty.
Lake Mary Family Physicians P.A. can be contacted via phone (407) 829-8960, or through Sutphin, Leah M via phone (407) 829-8960.
Contact Information
Primary practice address
910 Williston Park Pt Suite 2050
Lake Mary FL 32746-2172
Phone: (407) 829-8960
Fax: (407) 829-8978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | ME88467, ME88578 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP1103432 | Florida |
Profile Details
| NPI number | 1174719082 |
|---|---|
| LBN Legal business name | Lake Mary Family Physicians P.A. |
| DBA Doing business as | |
| Authorized official | Sutphin, Leah M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 25th, 2007 |
| Last updated | Jul 7th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174719082 | NPPES |
| Florida | Other | 94986 | BCBS OF FLORIDA |
| Florida | Other | K8696 | BCBS OF FLORIDA |
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