Lake Family Medicine & Imaging
NPI 1164018743 · Family Medicine Physician · Sanford, FL
Lake Family Medicine & Imaging is a Family Medicine Physician organization in Sanford, FL (NPI 1164018743).
Provider details
- NPI number
- 1164018743
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raj Kandavanam, Owner(407) 559-5100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-12-17
- Last updated
- 2020-12-17
- Certified
- 2020-12-17
Frequently asked questions
- What is Lake Family Medicine & Imaging's NPI number?
- Lake Family Medicine & Imaging's National Provider Identifier (NPI) is 1164018743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Family Medicine & Imaging?
- Lake Family Medicine & Imaging is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Family Medicine & Imaging located?
- Lake Family Medicine & Imaging's practice location on file with NPPES is 1403 Medical Plaza Dr Ste 100, Sanford, FL 32771-1085.
- What is Lake Family Medicine & Imaging's phone number?
- The practice phone number listed in the NPPES registry for Lake Family Medicine & Imaging is (407) 559-5100.
- Who is the authorized official for Lake Family Medicine & Imaging?
- The authorized official listed on Lake Family Medicine & Imaging's NPPES record is Raj Kandavanam, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Family Medicine & Imaging's NPI active?
- Yes — Lake Family Medicine & Imaging's NPI (1164018743) is active in the NPPES registry as of the last update on 2020-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.