FAMILY HEALTH ENTERPRISES INC (NPI# 1538192075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538192075 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH ENTERPRISES INC |
| Other Organization Name | LADY LAKE FAMILY MEDICINE |
| Practice Address |
607 Highway 466 Lady Lake FL 32159-3792 |
| Mailing Address |
Po Box 1777 Lady Lake FL 32158-1777 |
| Practice Telephone | 3522597994 |
| Practice Fax Number | 3522597992 |
| Mailing Telephone | 3522597994 |
| Mailing Fax Number | 3522597992 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2013-02-06 |
| Authorized Official Name | DR. JOHN D BURRESS (PRESIDENT) |
| Authorized Official Telephone | 3522597994 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | DC9694 | 01 |
| Other Name | Type Code |
|---|---|
| Lady Lake Family Medicine | Doing Business As Name - Organization |
| Street Address |
607 HIGHWAY 466 |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32159-3792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366414724 | Glenn R Mckeon | Physician Assistant | 607 Highway 466, Lady Lake, FL 32159-6338 | 2006-02-01 |
| 1538671672 | Karen Olivia Callahan | Nurse Practitioner | 607 Highway 466, Lady Lake, FL 32159-6338 | 2017-10-30 |
| 1982945200 | Lana A Ecker | Nurse Practitioner | 607 Highway 466, Lady Lake, FL 32159-6338 | 2013-03-12 |
| 1225380504 | Primary Options Inc | Phlebology | 607 Highway 466, Lady Lake, FL 32159-6338 | 2012-10-10 |
| 1689842874 | Robert Burton Neale | Specialist | 607 Highway 466, Suite A, Lady Lake, FL 32159-3792 | 2008-02-11 |
| 1043488216 | Mohamed Ghoniem Ibrahim | Specialist | 607 Highway 466, Suite A, Lady Lake, FL 32159-3792 | 2008-02-11 |
| 1174600803 | Ning Chiou | Physical Therapist | 607 Highway 466, A, Lady Lake, FL 32159-3792 | 2006-11-01 |
| 1457438236 | Abbey Rehabilitation Specialists of Lake County Inc | Physical Therapist | 607 Highway 466, A, Lady Lake, FL 32159-3792 | 2006-11-01 |
| 1649295973 | John Daniel Burress | Family Medicine | 607 Highway 466, Lady Lake, FL 32159-3792 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063420883 | Mary Sue Johnson | Family Medicine | 1560 Santa Barbara Blvd, Lady Lake, FL 32159 | 2006-08-04 |
| 1417985623 | Susan Kathleen Hirtz | Family Medicine | 5720 Crestview Dr, Lady Lake, FL 32159-5925 | 2006-06-28 |
| 1447488978 | Sangeeta Hans | Family Medicine | 13940 N Us Highway 441, Bldg 100 Suite 102, Lady Lake, FL 32159-8908 | 2009-06-23 |
| 1265641344 | Seth C Perkins | Family Medicine | 929 N Hwy 441, Ste 501, Lady Lake, FL 32159-3003 | 2007-05-22 |
| 1649295973 | John Daniel Burress | Family Medicine | 607 Highway 466, Lady Lake, FL 32159-3792 | 2006-07-13 |
| 1144200569 | Catherine Ruth Horner | Family Medicine | 1400 N Us Highway 441, North Suite 531, Lady Lake, FL 32159-8975 | 2006-01-20 |
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| 1841891777 | Medical Risk Solutions LLC | Family Medicine | 455 Ishie Ave, Bronson, FL 32621-6204 | 2020-11-06 |
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| 1053912238 | New Port Richey Primary Care Associates | Family Medicine | 4772 Us Highway 19, New Port Richey, FL 34652-4944 | 2020-11-04 |
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1902407455 | Trek Healthcare LLC | Family Medicine | 11767 S Dixie Hwy # 208, Pinecrest, FL 33156-4438 | 2020-11-02 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1255930871 | Haymee Rodriguez | Family Medicine | 18751 Sw 295th Ter, Homestead, FL 33030-2310 | 2020-10-23 |
| 1033718986 | Jason Wittlin | Family Medicine | 601 Sw 242nd Ter, Newberry, FL 32669-4495 | 2020-10-21 |
| 1457950420 | Paxton Medical Management | Family Medicine | 14279 Tamiami Trl, North Port, FL 34287-2215 | 2020-10-21 |
| 1679172779 | Flagler Family Nursing Home Care LLC | Family Medicine | 130 Healthpark Blvd, St Augustine, FL 32086-5776 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.