| Hawk & Puglia Family Practice Physicians | |
|
101 S 11th St Suite 4 Leesburg FL 34748-5767 | |
| (352) 787-8301 | |
| (352) 787-6091 |
| Full Name | Hawk & Puglia Family Practice Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 101 S 11th St, Leesburg, Florida |
| Authorized Official Name and Position | Glennajo Courtney (OFFICE MANAGER) |
| Authorized Official Contact | 3527878301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawk & Puglia Family Practice Physicians 101 S 11th St Suite 4 Leesburg FL 34748-5767 Ph: (352) 787-8301 | Hawk & Puglia Family Practice Physicians 101 S 11th St Suite 4 Leesburg FL 34748-5767 Ph: (352) 787-8301 |
| NPI Number | 1073521803 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073521803 | NPI | - | NPPES |
| 34152 | Other | FL | BLUE CROSS BLUE SHIELD |
| CJ8048 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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