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Lake Mary Family Physicians P.A.

Exclusive Provider Organization in Lake Mary, FL · enumerated 2007 · authorized official Leah Sutphin, Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174719082

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Mary Family Physicians P.A.
Practice address 910 Williston Park Pt, Suite 2050, Lake Mary, FL, 32746
Fax (407) 829-8978
Enumeration date Sep 25, 2007
Last updated in NPPES Jul 7, 2009

Taxonomy & classification

302F00000X Exclusive Provider Organization Managed Care Organizations · License ME88467, ME88578 (FL) Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License ARNP1103432 (FL) Secondary

Authorized official

Name Leah Sutphin
Title Billing Manager

Other identifiers

Identifier Type State Issuer
94986 Other FL BCBS OF FLORIDA
K8696 Other FL MEDICARE GROUP NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lake Mary Family Physicians P.A.?
Lake Mary Family Physicians P.A. is registered in NPPES as a Exclusive Provider Organization (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-07-07.