Healthcare Provider Details
I. General information
NPI: 1245533090
Provider Name (Legal Business Name): FINDLEY FAMILY PRACTICE PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2010
Last Update Date: 12/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
39 E ATWATER AVE
EUSTIS FL
32726-5540
US
IV. Provider business mailing address
39 E ATWATER AVE
EUSTIS FL
32726-5540
US
V. Phone/Fax
- Phone: 352-482-0900
- Fax:
- Phone: 352-482-0900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHARON
L
WHITE-FINDLEY
Title or Position: PRESIDENT/OWNER
Credential: DO
Phone: 352-483-0900