Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mount Dora Family Practice PA

Organization Family Medicine Physician · NPI 1073639969

Mount Dora Family Practice PA provides Family Medicine Physician services in Mount Dora, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18540 US Highway 441
Mount Dora, FL 32757-6725 Not confirmed with CMS for 18 years — call before visiting
Phone: (352) 383-7743
Fax: (352) 383-9226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME55532 (FL)

Record details

NPI number1073639969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Lynch — Owner · (352) 383-7743
NPI enumeratedMarch 22, 2007
Last updated in NPPESJanuary 8, 2008
Mailing address18540 Us Highway 441, Mount Dora, FL 32757-6725

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