LAKE MARY FAMILY PHYSICIANS P.A. – Exclusive Provider Organization, NPI 1174719082

LAKE MARY FAMILY PHYSICIANS P.A. is a healthcare provider. based in Lake mary, Florida. specializing in Exclusive Provider Organization. The organization holds a License No. ARNP1103432 (FL). The NPI Number for LAKE MARY FAMILY PHYSICIANS P.A. is 1174719082

Main info

Organization
Name
LAKE MARY FAMILY PHYSICIANS P.A.
NPI
1174719082
Phone
(407) 829-8960
Address
910 WILLISTON PARK PT
Authorized Official
MS. LEAH M SUTPHIN BILLING MANAGER
Enumeration Date
25 September 2007
Last Update Date
7 July 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for LAKE MARY FAMILY PHYSICIANS P.A.

  • 910, Williston Park Point, Lake Mary, Seminole County, Florida, 32746, United States

    SUITE 2050

    LAKE MARY, FL 327462172

    Phone: (407) 829-8960

    Fax: (407) 829-8978

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32746)

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Reviews

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Frequently asked questions

What number should I use to identify LAKE MARY FAMILY PHYSICIANS P.A. for billing?
Administrative and clinical systems typically use NPI 1174719082 for LAKE MARY FAMILY PHYSICIANS P.A..
Is LAKE MARY FAMILY PHYSICIANS P.A. currently accepting referrals based on NPI status?
Registry metadata lists LAKE MARY FAMILY PHYSICIANS P.A. as active.
What type of care does LAKE MARY FAMILY PHYSICIANS P.A. provide?
LAKE MARY FAMILY PHYSICIANS P.A.'s profile centers on Exclusive Provider Organization. Clinical services aligned with this taxonomy classification.
Which community is linked to LAKE MARY FAMILY PHYSICIANS P.A.?
LAKE MARY FAMILY PHYSICIANS P.A. shows a connection to Lake Mary, Florida in registry-derived data.
Can I export LAKE MARY FAMILY PHYSICIANS P.A.'s record?
You can download the official NPPES record; we summarize key fields for readability.

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