| Carehere Lcs-leesburg | |
|
1908 Center St Leesburg FL 34748-4812 | |
| (877) 423-1330 | |
| Not Available |
| Full Name | Carehere Lcs-leesburg |
|---|---|
| Speciality | Family Medicine |
| Location | 1908 Center St, Leesburg, Florida |
| Authorized Official Name and Position | Ernie Clevenger (PRESIDENT) |
| Authorized Official Contact | 6152215901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carehere Lcs-leesburg 1908 Center St Leesburg FL 34748-4812 Ph: (877) 423-1330 | Carehere Lcs-leesburg 1908 Center St Leesburg FL 34748-4812 Ph: (877) 423-1330 |
| NPI Number | 1528491156 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 06/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528491156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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