Unknown Individual – Internal Medicine Physician, NPI 1447240841
Internal Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Medical Plaza Drive, Leesburg, Lake County, Florida, 32748, United States
SUITE 101
LEESBURG, FL 347487326
Phone: (352) 728-6808
Fax: (352) 728-3637
Type: Mailing
Laurel Manor Drive, The Villages, Sumter County, Florida, 32162, United States
SUITE 142
THE VILLAGES, FL 321625603
Phone: (352) 326-7850
Fax: (352) 259-1605
Type: Location
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34748)
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Group practice members
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