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

Mission Medical Family Practice Inc

Organization Family Medicine Physician · NPI 1669364808

Mission Medical Family Practice Inc is a Family Medicine Physician in Lake City, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1283 SW State Road 47 Ste 103
Lake City, FL 32025-0490
Phone: (386) 623-1871
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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 number1669364808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meghann Williamson — President/ Director · (386) 271-2993
NPI enumeratedJuly 21, 2025
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address1283 Sw State Road 47 Ste 103, Lake City, FL 32025-0490

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