LAKE FAMILY MEDICINE & IMAGING

SANFORD, FL
NPI1164018743
Entity TypeOrganization
Authorized ContactRAJ KANDAVANAM
Owner
407-559-5100
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2020-12-17
Last Update Date2020-12-17
Business Address
LAKE FAMILY MEDICINE & IMAGING
1403 MEDICAL PLAZA DR STE 100
SANFORD, FL 32771-1085
Phone number: 407-559-5100
Mailing Address
LAKE FAMILY MEDICINE & IMAGING
1403 MEDICAL PLAZA DR STE 100
SANFORD, FL 32771-1085
Phone number: 407-559-5100
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