LAKESIDE FAMILY MEDICINE, P.A.
NPI 1679732689
Clinic/Center - Primary Care in Mount Dora, FL

Q: What is Lakeside Family Medicine, P.A.'s NPI number?

The NPI number for Lakeside Family Medicine, P.A. is 1679732689. It was assigned to this organization in the NPPES registry on June 4, 2008.

Q: What is Lakeside Family Medicine, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since June 04, 2008

4685 N HIGHWAY 19A, MOUNT DORA, FL 32757(352) 589-5900(352) 589-5904 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lakeside Family Medicine, P.a. NPPES

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

LAKESIDE FAMILY MEDICINE, P.A. (NPI 1679732689) is a healthcare organization registered as a primary care in Mount Dora, Florida and active in the NPI registry since June 2008. The organization lists Gerald Edward Reynolds, President Of Lakeside Family Medici, as its authorized official.

NPPES Registry Identity

NPI1679732689

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameLAKESIDE FAMILY MEDICINE, P.A.

Location Address4685 N HIGHWAY 19AMount Dora, FL 32757-2039

Mailing Address4685 N Highway 19aMount Dora, FL 32757-2039 · (352) 589-5900 · Fax (352) 589-5904

Phone(352) 589-5900

Fax(352) 589-5904

Organization SubpartNo

Authorized OfficialGerald Edward ReynoldsPresident Of Lakeside Family Medici · (352) 589-5900

Enumeration DateJune 4, 2008

Last NPPES UpdateMarch 25, 2013

✔ NPI 1679732689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

4685 N HIGHWAY 19A, Mount Dora, FL 32757

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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.

MICHELLE L SIDOR ARNP

Nurse Practitioner (Family)

4685 N HIGHWAY 19A
MOUNT DORA, FL 32757

Orange County (352) 589-5900

GERALD EDWARD REYNOLDS D.O.

Family Medicine

4685 N HIGHWAY 19A
MOUNT DORA, FL 32757

Orange County (352) 589-5900

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 Lakeside Family Medicine, P.A.'s NPI number?

The NPI number for Lakeside Family Medicine, P.A. is 1679732689. It was assigned to this organization in the NPPES registry on June 4, 2008.

Where is Lakeside Family Medicine, P.A. located?

Lakeside Family Medicine, P.A. is located at 4685 N Highway 19A, Mount Dora, FL 32757. The listed phone number is (352) 589-5900.

What is Lakeside Family Medicine, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lakeside Family Medicine, P.A. was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.