| Your Health First | |
|
1617 Park Dr Leesburg FL 34748-6739 | |
| (407) 538-3858 | |
| Not Available |
| Full Name | Your Health First |
|---|---|
| Speciality | Clinic/Center |
| Location | 1617 Park Dr, Leesburg, Florida |
| Authorized Official Name and Position | Amanda Eason (NURSE PRACTITIONER) |
| Authorized Official Contact | 4075383858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Health First 1617 Park Dr Leesburg FL 34748-6739 Ph: (407) 538-3858 | Your Health First 1617 Park Dr Leesburg FL 34748-6739 Ph: (407) 538-3858 |
| NPI Number | 1720725427 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 05/16/2022 |
| Medicare PECOS PAC ID | 9830539535 |
|---|---|
| Medicare Enrollment ID | O20240429001525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720725427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amanda Rae Eason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619464138 PECOS PAC ID: 1759637937 Enrollment ID: I20180629002138 |
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