Mount Dora Family Practice Pa in Mount Dora - Family Medicine
Mount Dora Family Practice Pa - NPI 1073639969
Mount Dora Family Practice Pa is a Family Medicine in Mount Dora, Florida. Mount Dora Family Practice Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mount Dora Family Practice Pa is 1073639969. The last update date is 2008-01-08.
Mount Dora Family Practice Pa's current location address is 18540 Us Highway 441, Mount Dora, Florida. You can contact this provider via phone number 3523837743 and fax number 3523839226. The mailing address for Mount Dora Family Practice Pa is 18540 Us Highway 441, Mount Dora, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mount Dora Family Practice Pa |
|---|---|
| Address | 18540 Us Highway 441, Mount Dora, Florida |
| Phone Number | 3523837743 |
| Fax Number | 3523839226 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lynch Dale Robert |
| Credentials | M.D. |
| Telephone Number | 3523837743 |
NPI Number Detail
| NPI Number | 1073639969 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2008-01-08 |
Provider Mailing Address Detail
| Address | 18540 Us Highway 441 |
|---|---|
| City | Mount Dora |
| State | Florida (FL) |
| Post Code | 327576725 |
| Phone Number | 3523837743 |
| Fax Number | 3523839226 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME55532 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DA2650 | FL | RR MEDICARE | |
| 274649200 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mount Dora Family Practice Pa?
The Mount Dora Family Practice Pa has been issued the NPI (National Provider Identifier) 1073639969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mount Dora Family Practice Pa is geographically located?
The Mount Dora Family Practice Pa is physically situated at the following location: 18540 Us Highway 441, Mount Dora, FL, 327576725.
What is Mount Dora Family Practice Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mount Dora Family Practice Pa is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Mount Dora Family Practice Pa receive its 1073639969 assignment from the Centers for Medicare & Medicaid Services?
The Mount Dora Family Practice Pa was assigned its 1073639969 by the Centers for Medicare & Medicaid Services on 2007-03-22.
When was the information regarding Mount Dora Family Practice Pa most recently updated?
The details pertaining to the Mount Dora Family Practice Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-01-08.