Healthcare Provider Details

I. General information

NPI: 1548177124
Provider Name (Legal Business Name): INSIGHT MEDICAL ASSOCIATES FLORIDA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 COURTLAND ST STE 201
ORLANDO FL
32804-1343
US

IV. Provider business mailing address

604 COURTLAND ST STE 201
ORLANDO FL
32804-1343
US

V. Phone/Fax

Practice location:
  • Phone: 805-468-8256
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TINA LEE
Title or Position: PRESIDENT
Credential: MD
Phone: 805-468-8256