Central Florida Medical Care | |
29320 Us Highway 27 Leesburg FL 34748-8227 | |
(352) 360-0400 | |
(352) 360-0404 |
Full Name | Central Florida Medical Care |
---|---|
Speciality | Internal Medicine |
Location | 29320 Us Highway 27, Leesburg, Florida |
Authorized Official Name and Position | David Richard Lichtinger (OWNER/PHYSICIAN) |
Authorized Official Contact | 3523600400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Central Florida Medical Care 29320 Us Highway 27 Leesburg FL 34748-8227 Ph: (352) 360-0400 | Central Florida Medical Care 29320 Us Highway 27 Leesburg FL 34748-8227 Ph: (352) 360-0400 |
NPI Number | 1144265026 |
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Provider Enumeration Date | 06/17/2006 |
Last Update Date | 10/31/2012 |
Medicare PECOS PAC ID | 3779525324 |
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Medicare Enrollment ID | O20050524001305 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144265026 | NPI | - | NPPES |
371631700 | Medicaid | FL | |
CH3810 | Other | FL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0S0006324 (Florida) | Primary |
Provider Name | David R Lichtinger |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124115027 PECOS PAC ID: 0941242598 Enrollment ID: I20050607001052 |
Provider Name | Jennifer R Montgomery |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811665078 PECOS PAC ID: 6204233059 Enrollment ID: I20210922001059 |
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