Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cedar Lake Medical Center, PA

Organization Family Medicine Physician · NPI 1508068230

Cedar Lake Medical Center, PA is a Family Medicine Physician in Biloxi, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1759 Medical Park Dr
Biloxi, MS 39532-2132
Phone: (228) 385-0075
Fax: (228) 385-0073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1508068230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Seyfarth — Manager · 22838500075
NPI enumeratedJune 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1759 Medical Park Dr, Biloxi, MS 39532-2132

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