Lake Mary Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAKE MARY MEDICAL CENTER

Practice address

3629 Lake Emma Rd
Lake Mary, FL 32746-6199

Phone

(407) 333-7995

Fax

(407) 333-7996

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary Harrison

Title

Vice President

Phone

(407) 333-7995

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1437451887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 LAKE EMMA RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466199",
            "telephone_number": "407-333-7995",
            "fax_number": "407-333-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 LAKE EMMA RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466199",
            "telephone_number": "407-333-7995",
            "fax_number": "407-333-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MARY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-333-7995",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Mary Family Medicine, Inc.
• Lake Mary Family Physicians P.a.
• Lake Mary Health Care Associates LLC (Lake Mary Health and Rehabilitation Center)
• Lake Mary Imaging Center, Inc.
• Lake Mary Infusion Center
• Lake Mary Medical Services, LLC
• Lake Mary Modern Dentistry, PA (Lake Mary Modern Dentistry)
• Lake Mary OB/GYN
• Lake Mary Plastic and Cosmetic Surgery PA
• Lake Mary Psychiatric Services LLC

• Family Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.