Leesburg Primary Care Center, LLC

NPI #1982860656 in Leesburg, Florida

Provider Information

NPI Number: 1982860656
Entity Type: Organization
Organization Name: Leesburg Primary Care Center, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MEDICAL CARE CENTER
Primary Specialty: Specialist
Enumeration Date: Aug 1, 2008
Last Updated: Apr 27, 2009

Practice Location

Address: 620 S LAKE ST
Address 2: UNIT 5
City: Leesburg
State: Florida
ZIP Code: 34748-6059
Phone: (352) 319-6810

Authorized Official

Name: MRS. NARMATA A AMIN
Title: CHIEF OPERATING OFFICER
Phone: (727) 251-1366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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