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

Lake Mary OB/GYN

Organization Gynecology Physician · NPI 1679669808

Lake Mary OB/GYN is a Gynecology Physician in Lake Mary, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2500 W Lake Mary Blvd Ste 109
Lake Mary, FL 32746-3501
Phone: (407) 323-2727
Fax: (407) 323-2771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X

Record details

NPI number1679669808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erika Nichelson — Do · (407) 323-2727
NPI enumeratedOctober 5, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2500 W Lake Mary Blvd, Suite 109, Lake Mary, FL 32746-3501

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