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Organization
MOUNT DORA FAMILY PRACTICE PA
Active
Organization
MOUNT DORA FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DALE LYNCH M.D. (OWNER)
(352) 383-7743
Entity
Organization
Contact information
Practice address
18540 US HIGHWAY 441, MOUNT DORA, FL 32757-6725
(352) 383-7743
(352) 383-9226
Mailing address
18540 US HIGHWAY 441, MOUNT DORA, FL 32757-6725
(352) 383-7743
(352) 383-9226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME55532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274649200
—
FL
01
—
DA2650
RR MEDICARE
FL
Enumeration date
03/22/2007
Last updated
01/08/2008
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