Active NPI
Lake Mary Family Care P a
- Family Medicine Physician
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME81907
- Legal business name
- LAKE MARY FAMILY CARE P A
- Practice address
- 2500 W Lake Mary Blvd
Suite 217
Lake Mary, FL 32746-3501 - Phone
- (407) 688-8862
- Fax
- (407) 688-8868
- NPI assigned
- Nov 28, 2006
- Last updated
- Jun 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael E Dillehay, MD
- Title
- President
- Phone
- (407) 688-8862
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME81907 | FL | Primary |
Addresses
Primary practice location
2500 W Lake Mary Blvd
Suite 217
Lake Mary, FL 32746-3501
Mailing address
2500 W Lake Mary Blvd
Suite 217
Lake Mary, FL 32746-3501
Phone (407) 688-8862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2500 W Lake Mary Blvd
Ste 206
Lake Mary, FL 32746
Phone (407) 333-1212
2500 W Lake Mary Blvd
Ste 217
Lake Mary, FL 32746
Phone (407) 444-5225
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1811000888
-
- Family Nurse Practitioner
- Lake Mary, FL
- NPI 1578382776
-
- Family Nurse Practitioner
- Clermont, FL
- NPI 1629466792
-
- Family Nurse Practitioner
- Fort Lauderdale, FL
- NPI 1407256480
-
- Family Nurse Practitioner
- Deltona, FL
- NPI 1215423439
-
- Physician Assistant
- Debary, FL
- NPI 1326387531
-
- Foot & Ankle Surgery Podiatrist
- Mount Dora, FL
- NPI 1023468295
-
- Nurse Practitioner
- Murfreesboro, NC
- NPI 1831516368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309305600000",
"number": "1649346826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W LAKE MARY BLVD",
"address_2": "SUITE 217",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463501",
"telephone_number": "407-688-8862",
"fax_number": "407-688-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W LAKE MARY BLVD",
"address_2": "SUITE 217",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463501",
"telephone_number": "407-688-8862",
"fax_number": "407-688-8868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE MARY FAMILY CARE P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2011-06-29",
"status": "A",
"authorized_official_last_name": "DILLEHAY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-688-8862",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME81907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
- Bryanna Marlene Laboy
- Lake Emma Dental L.L.C
- Lake Mary Chiropractic Center PA
- Lake Mary Counseling
- Lake Mary Dental PA
- 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.