Lake Mary Family Physicians P.A.
NPI 1174719082 · Exclusive Provider Organization · Lake Mary, FL
Lake Mary Family Physicians P.A. is a Exclusive Provider Organization organization in Lake Mary, FL (NPI 1174719082).
Provider details
- NPI number
- 1174719082
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Leah Sutphin, Billing Manager(407) 829-8960
- License
- ARNP1103432 (FL)
Specialties & taxonomies
Managed Care Organizations
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-09-25
- Last updated
- 2009-07-07
Frequently asked questions
- What is Lake Mary Family Physicians P.A.'s NPI number?
- Lake Mary Family Physicians P.A.'s National Provider Identifier (NPI) is 1174719082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Mary Family Physicians P.A.?
- Lake Mary Family Physicians P.A. is classified in the NPPES registry as Exclusive Provider Organization (Managed Care Organizations).
- Where is Lake Mary Family Physicians P.A. located?
- Lake Mary Family Physicians P.A.'s practice location on file with NPPES is 910 Williston Park PT, Lake Mary, FL 32746-2172.
- What is Lake Mary Family Physicians P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Mary Family Physicians P.A. is (407) 829-8960.
- Who is the authorized official for Lake Mary Family Physicians P.A.?
- The authorized official listed on Lake Mary Family Physicians P.A.'s NPPES record is Leah Sutphin, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Mary Family Physicians P.A.'s NPI active?
- Yes — Lake Mary Family Physicians P.A.'s NPI (1174719082) is active in the NPPES registry as of the last update on 2009-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.