Lake Mary Family Physicians P.A. in Lake Mary - Exclusive Provider Organization
Lake Mary Family Physicians P.A. - NPI 1174719082
Lake Mary Family Physicians P.A. is a Exclusive Provider Organization in Lake Mary, Florida. Lake Mary Family Physicians P.A. practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Lake Mary Family Physicians P.A. is 1174719082. The last update date is 2009-07-07.
Lake Mary Family Physicians P.A.'s current location address is 910 Williston Park Pt, Lake Mary, Florida. You can contact this provider via phone number 4078298960 and fax number 4078298978. The mailing address for Lake Mary Family Physicians P.A. is 910 Williston Park Pt, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Mary Family Physicians P.A. |
|---|---|
| Address | 910 Williston Park Pt, Lake Mary, Florida |
| Phone Number | 4078298960 |
| Fax Number | 4078298978 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING MA |
|---|---|
| Authorized Official Name | Sutphin M Leah |
| Telephone Number | 4078298960 |
NPI Number Detail
| NPI Number | 1174719082 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2009-07-07 |
Provider Mailing Address Detail
| Address | 910 Williston Park Pt |
|---|---|
| City | Lake Mary |
| State | Florida (FL) |
| Post Code | 327462172 |
| Phone Number | 4078298960 |
| Fax Number | 4078298978 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
| Licence No | ME88467, ME8 |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 94986 | FL | BCBS OF FLORIDA | |
| K8696 | FL | MEDICARE GROUP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lake Mary Family Physicians P.A. by the Centers for Medicare & Medicaid Services?
The Lake Mary Family Physicians P.A. has been issued the NPI (National Provider Identifier) 1174719082, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lake Mary Family Physicians P.A.'s physical address?
The Lake Mary Family Physicians P.A. is physically located at 910 Williston Park Pt, in the city of Lake Mary, FL, with the postal code 327462172.
What is Lake Mary Family Physicians P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lake Mary Family Physicians P.A. is Exclusive Provider Organization, and the taxonomy code that classifies this field of practice is 302F00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174719082 to Lake Mary Family Physicians P.A.?
The Centers for Medicare & Medicaid Services assigned the 1174719082 to Lake Mary Family Physicians P.A. on 2007-09-25.
When was the information regarding Lake Mary Family Physicians P.A., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lake Mary Family Physicians P.A., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-07-07.
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