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Organization

LAKE MARY FAMILY CARE P A

Active
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Organization

LAKE MARY FAMILY CARE P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL E DILLEHAY MD (PRESIDENT)
(407) 688-8862
Entity
Organization

Contact information

Practice address
2500 W LAKE MARY BLVD, SUITE 217, LAKE MARY, FL 32746-3501
(407) 688-8862
(407) 688-8868
Mailing address
2500 W LAKE MARY BLVD, SUITE 217, LAKE MARY, FL 32746-3501
(407) 688-8862
(407) 688-8868

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME81907
FL

Other

Enumeration date
11/28/2006
Last updated
06/29/2011
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