Basic Information
| Provider Information | |||||||||
| NPI: | 1255404414 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FINDLAY FAMILY PRACTICE | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1467 | ||||||||
| Address2: | |||||||||
| City: | EUSTIS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327271467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3524830900 | ||||||||
| FaxNumber: | 3524830822 | ||||||||
| Practice Location | |||||||||
| Address1: | 39 ATWATER AVE | ||||||||
| Address2: | |||||||||
| City: | EUSTIS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3524830900 | ||||||||
| FaxNumber: | 3524830822 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | WHITE FINDLEY | ||||||||
| AuthorizedOfficialFirstName: | SHARON | ||||||||
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| AuthorizedOfficialTitleorPosition: | DO | ||||||||
| AuthorizedOfficialTelephone: | 3524830900 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 055377 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1790755692 | 01 | FL | NPI | OTHER |