Healthcare Provider Details

I. General information

NPI: 1255404414
Provider Name (Legal Business Name): FINDLAY FAMILY PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 ATWATER AVE
EUSTIS FL
32726
US

IV. Provider business mailing address

PO BOX 1467
EUSTIS FL
32727-1467
US

V. Phone/Fax

Practice location:
  • Phone: 352-483-0900
  • Fax: 352-483-0822
Mailing address:
  • Phone: 352-483-0900
  • Fax: 352-483-0822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number055377
License Number StateFL

VIII. Authorized Official

Name: SHARON WHITE FINDLEY
Title or Position: DO
Credential:
Phone: 352-483-0900