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:
Map and Directions
Authorized official contact:
Name: Sutphin, Leah M
Phone: (407) 829-8960

Health care specialties

SpecialtyCodeLicense #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 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174719082 NPPES
Florida Other 94986 BCBS OF FLORIDA
Florida Other K8696 BCBS OF FLORIDA

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