Lakeview Internal Medicine P.a. | |
101 S 11th St Suite 4 Leesburg FL 34748-5767 | |
(352) 460-4004 | |
(352) 460-4003 |
Full Name | Lakeview Internal Medicine P.a. |
---|---|
Speciality | Internal Medicine |
Location | 101 S 11th St, Leesburg, Florida |
Authorized Official Name and Position | Khai Sheng Chang (PRESIDENT) |
Authorized Official Contact | 3527353755 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakeview Internal Medicine P.a. Po Box 297 Tavares FL 32778-0297 Ph: (352) 735-3755 | Lakeview Internal Medicine P.a. 101 S 11th St Suite 4 Leesburg FL 34748-5767 Ph: (352) 460-4004 |
NPI Number | 1083945935 |
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Provider Enumeration Date | 01/15/2010 |
Last Update Date | 01/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083945935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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