Interventional Associates of Leesburg, LLC

NPI #1972061679 in Leesburg, Florida

Provider Information

NPI Number: 1972061679
Entity Type: Organization
Organization Name: Interventional Associates of Leesburg, LLC
Primary Specialty: Specialist
Enumeration Date: Mar 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 106 W NORTH BLVD STE 102
City: Leesburg
State: Florida
ZIP Code: 34748-5039
Phone: (352) 702-4340

Authorized Official

Name: MARC OTT, DC
Title: CEO
Phone: (352) 702-4340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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