# DR NICK AUSAF FAMILY PRACTICE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Lakefront Center for Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366757825
- **Authorized official:** DR. NIAZ AMER AUSAF DO (OWNER/CEO)
- **Authorized official phone:** (863) 402-1001

## Contact information

- **Practice address:** 5 RYANT BLVD, SEBRING, FL 33870-8075
- **Practice address phone:** (863) 402-1001
- **Practice address fax:** (863) 402-9097
- **Mailing address:** PO BOX 8057, SEBRING, FL 33872-0118
- **Mailing address phone:** (863) 402-1001
- **Mailing address fax:** (863) 402-9097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS7734 | FL | Yes |

## Other

- **Enumeration date:** 08/09/2010
- **Last updated:** 12/30/2011