Organization · Type 2 NPI

Flower of the Lake Family Practice PA

Clinic/Center · Eustis, FL

NPI number 1023347648 Active

Practice location

720 N Bay St, Suite 5
Eustis, FL 32726-2964

Fax (352) 357-7100

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XOS6731 (FL)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4 other providers at this address

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About NPI 1023347648

Flower of the Lake Family Practice PA's National Provider Identifier is 1023347648, issued on Dec 10, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Eustis, FL. The record was last updated on Aug 16, 2010.