| Leesburg Family Medicine | |
|
802 E Dixie Ave Leesburg FL 34748-6014 | |
| (352) 787-1324 | |
| (352) 360-0668 |
| Full Name | Leesburg Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 802 E Dixie Ave, Leesburg, Florida |
| Authorized Official Name and Position | Regina Ingram (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 3527286808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leesburg Family Medicine 802 E Dixie Ave Leesburg FL 34748-6014 Ph: (352) 728-6808 | Leesburg Family Medicine 802 E Dixie Ave Leesburg FL 34748-6014 Ph: (352) 787-1324 |
| NPI Number | 1437281102 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437281102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
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