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LEESBURG PRIMARY CARE CENTER LLC NPI 1982860656


NPI Information

NPI: 1982860656
Provider Name: LEESBURG PRIMARY CARE CENTER, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
620 S LAKE ST
UNIT 5
LEESBURG, FL
ZIP 34748
Phone: (352) 319-6810
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LEESBURG PRIMARY CARE CENTER, LLC is a specialist in Leesburg, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LEESBURG PRIMARY CARE CENTER, LLC NPI is 1982860656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

620 S LAKE ST
UNIT 5
LEESBURG, FL
ZIP 34748-059
Phone: (352) 319-6810
Fax: (352) 365-9673

The provider's authorized official is Narmata A Amin .
The authorized official title is Chief Operating Officer and has the following contact phone number (727) 251-1366.

The enumeration date for this NPI number is 8/1/2008 and was last updated on 4/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME67237FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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