LAKEFRONT MEDICAL CENTER PA NPI 1417119223

NPI Information

LAKEFRONT MEDICAL CENTER PA is a specialist in Orlando, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LAKEFRONT MEDICAL CENTER PA NPI is 1417119223. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60 W COLUMBIA ST
SUITE F
ORLANDO, FL
ZIP 32806-126
Phone: (407) 841-0084
Fax: (407) 423-4406

The provider's authorized official is Alan R Varraux .
The authorized official title is Physician/president and has the following contact phone number (407) 841-0084.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 7/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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