Lake Family Medicine & Imaging
Lake Family Medicine & Imaging is a Family Medicine Physician in Sanford, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1403 Medical Plaza Dr Ste 100Sanford, FL 32771-1085
Phone: (407) 559-5100
Fax: (407) 559-5110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1164018743 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raj Kandavanam — Owner · (407) 559-5100 |
| NPI enumerated | December 17, 2020 |
| Last updated in NPPES | December 17, 2020 |
| Certification date | December 17, 2020 |
| Mailing address | 1403 Medical Plaza Dr Ste 100, Sanford, FL 32771-1085 |
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