OrganizationActive
Lake Mary Family Physicians P.A.
NPI 1174719082 · Exclusive Provider Organization · Lake Mary, FL
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
Detailed profile(88/100 index)
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
910 Williston Park PT
Suite 2050
Lake Mary, FL 32746-2172
Phone: (407) 829-8960
Fax: (407) 829-8978
Street-level locationGet directions
Mailing address
910 Williston Park PT
Lake Mary, FL 32746-2172
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 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.