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FAMILY CARE ON EUSTIS SQUARE PA
NPI 1659473833
Physician Assistant - Medical in Eustis, FL

Active since September 01, 2006CLIA 10D0961314 · Waiver
1 W PARK AVE, EUSTIS, FL 32726(352) 357-4629(352) 357-9367 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Care On Eustis Square Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY CARE ON EUSTIS SQUARE PA (NPI 1659473833) is a healthcare organization registered as a medical in Eustis, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Keith R Hester, Owner, as its authorized official.

NPPES Registry Identity

NPI1659473833
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameFAMILY CARE ON EUSTIS SQUARE PA
Location Address1 W PARK AVEEustis, FL 32726-2947
Mailing Address1 W Park AveEustis, FL 32726-2947 · (352) 357-4629 · Fax (352) 357-9367
Phone(352) 357-4629
Fax(352) 357-9367
Organization SubpartNo
Authorized OfficialKeith R HesterOwner · (352) 357-4629
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 23, 2009
✔ NPI 1659473833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA2446
1 W PARK AVE, Eustis, FL 32726
Open in Google Maps ↗

Other Identifiers 2

OtherK0951FL · Medicare Group Ptan
Medicaid259149900FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0961314

Family Care On Eustis Square PA · Eustis, FL
Active · expires Sep 8, 2027
CLIA Number10D0961314
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorKeith R. Hester
Laboratory Phone(352) 357-4629
Laboratory LocationFamily Care On Eustis Square PA1 West Park Avenue, Eustis, FL 32726
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLOTTE OSBORNE
Counselor
1 W PARK AVE
EUSTIS, FL 32726
Lake County (352) 638-5847
MR. KEITH ROBERTSON HESTER PA-C
Physician Assistant (Medical)
1 W PARK AVE
EUSTIS, FL 32726
Lake County (352) 357-4629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Care On Eustis Square PA's NPI number?

The NPI number for Family Care On Eustis Square PA is 1659473833. It was assigned to this organization in the NPPES registry on September 1, 2006.

Where is Family Care On Eustis Square PA located?

Family Care On Eustis Square PA is located at 1 W Park Ave, Eustis, FL 32726. The listed phone number is (352) 357-4629.

What is Family Care On Eustis Square PA's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Family Care On Eustis Square PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0961314) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Care On Eustis Square PA was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.