Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mission Medical Family Practice Inc

Organization Family Medicine Physician · NPI 1669364808

Mission Medical Family Practice Inc provides Family Medicine Physician services in Lake City, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1283 SW State Road 47 Ste 103
Lake City, FL 32025-0490
Phone: (386) 623-1871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1669364808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meghann Williamson — President/ Director · (386) 271-2993
NPI enumeratedJuly 21, 2025
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address1283 Sw State Road 47 Ste 103, Lake City, FL 32025-0490

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