Mary Ann Tesalona MD Corp

NPI #1952574923 in Leesburg, Florida

Provider Information

NPI Number: 1952574923
Entity Type: Organization
Organization Name: Mary Ann Tesalona MD Corp
Primary Specialty: Family Medicine
Enumeration Date: Apr 10, 2008
Last Updated: Dec 8, 2011

Practice Location

Address: 32845 RADIO RD
Address 2: SUITE 101
City: Leesburg
State: Florida
ZIP Code: 34788-3977
Phone: (352) 315-1161

Authorized Official

Name: DR. MARY ANN DUMAYAS TESALONA, M.D.
Title: M.D./OWNER
Phone: (352) 315-1161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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