Leesburg Regional Medical Center Physician Services LLC

NPI #1104063114 in Leesburg, Florida

Provider Information

NPI Number: 1104063114
Entity Type: Organization
Organization Name: Leesburg Regional Medical Center Physician Services LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 13, 2009
Last Updated: Nov 21, 2024

Practice Location

Address: 600 E DIXIE AVE
City: Leesburg
State: Florida
ZIP Code: 34748-5925
Phone: (523) 594-0827

Authorized Official

Name: MRS. HEATHER LONG
Title: PRESIDENT, CEO
Phone: (352) 323-5761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Surgery	208600000X
Emergency Medicine	207P00000X	Primary

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