Organization
FAMILY HEALTH ENTERPRISES INC
Active
Other names
Lady Lake Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D BURRESS DO (PRESIDENT)
(352) 259-7994
Entity
Organization
Contact information
Practice address
607 HIGHWAY 466, LADY LAKE, FL 32159-3792
(352) 259-7994
(352) 259-7992
Mailing address
PO BOX 1777, LADY LAKE, FL 32158-1777
(352) 259-7994
(352) 259-7992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC9694
RAILROAD MEDICARE
FL
Enumeration date
07/08/2006
Last updated
02/06/2013
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