Provider Demographics
NPI:1538192075
Name:FAMILY HEALTH ENTERPRISES INC
Entity type:Organization
Organization Name:FAMILY HEALTH ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BURRESS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-259-7994
Mailing Address - Street 1:PO BOX 1777
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32158-1777
Mailing Address - Country:US
Mailing Address - Phone:352-259-7994
Mailing Address - Fax:352-259-7992
Practice Address - Street 1:607 HIGHWAY 466
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-3792
Practice Address - Country:US
Practice Address - Phone:352-259-7994
Practice Address - Fax:352-259-7992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDC9694OtherRAILROAD MEDICARE
FLDC9694OtherRAILROAD MEDICARE
FLDC9694OtherRAILROAD MEDICARE