| American Vitality Medical Group, Llc. | |
|
4120 Corley Island Rd Ste 500 Leesburg FL 34748-8297 | |
| (727) 415-7253 | |
| Not Available |
| Full Name | American Vitality Medical Group, Llc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4120 Corley Island Rd Ste 500, Leesburg, Florida |
| Authorized Official Name and Position | Douglas Rodante (PRESIDENT) |
| Authorized Official Contact | 7274157253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Vitality Medical Group, Llc. 1100 Lake Dora Dr Tavares FL 32778-3529 Ph: (727) 415-7253 | American Vitality Medical Group, Llc. 4120 Corley Island Rd Ste 500 Leesburg FL 34748-8297 Ph: (727) 415-7253 |
| NPI Number | 1649026428 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649026428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Centerwell Senior Primary Care (fl) Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 N 14th St, Leesburg, FL 34748 Phone: 352-326-4031 Fax: 352-360-0257 | |
Lake Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 293 Bent Oak Ct, Leesburg, FL 34748 Phone: 352-408-9935 | |
Internal Medicine Of Central Florida Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 708 Physicians Ct, Suite 1, Leesburg, FL 34748 Phone: 352-504-0381 Fax: 352-315-1989 | |
Hawk & Puglia Family Practice Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S 11th St, Suite 4, Leesburg, FL 34748 Phone: 352-787-8301 Fax: 352-787-6091 | |
Kenneth Appah Sampong, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 Physicians Ct, Leesburg, FL 34748 Phone: 352-728-5116 Fax: 352-728-5928 | |
Community Health Centers, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 407-905-8827 Fax: 352-360-0762 | |
Shakti Narain Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1070 Flagler Ave, Leesburg, FL 34748 Phone: 352-365-2550 Fax: 352-365-1950 |