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

Lake Family Practice

Organization Specialist · NPI 1033651971

Lake Family Practice is a Specialist in Orlando, Florida. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1317 N Pine Hills Rd
Orlando, FL 32808-4833
Phone: (407) 532-4615
Fax: (407) 286-2985
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1033651971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anita Madray — Owner · (352) 242-4816
NPI enumeratedNovember 9, 2016
Last updated in NPPESNovember 9, 2016
Mailing address1317 N Pine Hills Rd, Orlando, FL 32808-4833

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