American Eagle Leesburg Mc LLC

NPI #1689152910 in Leesburg, Florida

Provider Information

NPI Number
1689152910
Entity Type
Organization
Organization Name
American Eagle Leesburg Mc LLC
Primary Specialty
Alzheimer Center (Dementia Center)
Enumeration Date
Jul 30, 2018
Last Updated
Jul 30, 2018

Practice Location

Address
710 S LAKE ST
State
Florida
ZIP Code
34748-7327
Phone
(734) 418-9027

Authorized Official

Name
CORY WAKE
Title
ASSOCIATE
Phone
(734) 418-9027

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)

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