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

Lakeside Family Medicine, PA

Organization Primary Care Clinic/Center · NPI 1679732689

Lakeside Family Medicine, PA is a Primary Care Clinic/Center in Mount Dora, Florida. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4685 N Highway 19A
Mount Dora, FL 32757-2039
Phone: (352) 589-5900
Fax: (352) 589-5904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1679732689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Reynolds — President Of Lakeside Family Medici · (352) 589-5900
NPI enumeratedJune 4, 2008
Last updated in NPPESMarch 25, 2013
Mailing address4685 N Highway 19a, Mount Dora, FL 32757-2039

Other providers in Mount Dora