To Your Health of Lake County INC

NPI #1104017946 in Leesburg, Florida

Provider Information

NPI Number
1104017946
Entity Type
Organization
Organization Name
To Your Health of Lake County INC
Primary Specialty
Internal Medicine
Enumeration Date
Aug 7, 2007
Last Updated
Oct 11, 2011

Practice Location

Address
26540 ACE AVE
Address 2
SUITE 108C
State
Florida
ZIP Code
34748-8279
Phone
(352) 326-5281

Authorized Official

Name
DR. JOSEPH L CARRASCO, M.D.
Title
OWNER
Phone
(352) 326-5281

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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