OrganizationActive
Lakeside Family Medicine, P.A.
NPI 1679732689 · Primary Care Clinic/Center · Mount Dora, FL
Provider details
- NPI number
- 1679732689
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gerald Reynolds, President of Lakeside Family Medici(352) 589-5900
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 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
4685 N Highway 19a
Mount Dora, FL 32757-2039
Phone: (352) 589-5900
Fax: (352) 589-5904
Street-level locationGet directions
Mailing address
4685 N Highway 19a
Mount Dora, FL 32757-2039
Registry dates
- Enumerated
- 2008-06-04
- Last updated
- 2013-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.