Organization

Flower Of The Lake Family Practice Pa

Clinic/Center in Eustis, FL(View on Map)

Legal Business Name

Flower Of The Lake Family Practice Pa

NPI Number

1023347648

NPI Type

Organization

Enumeration Date

12/10/2009

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

OS6731

Contact
Information

Purpose

Mailing
Location

Address

720 N BAY ST
720 N BAY ST

City

Eustis
Eustis

State

FL
FL

Postal Code

32726-2964
32726-2964

Country

US
US

Telephone Number

(352) 357-7200
(352) 357-7200

Authorized Official

Name

Ms. Margaret Hayden

Title or Position

PRESIDENT

Telephone Number

(352) 357-7200

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/16/2010

Provider Address