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Organization
LEESBURG PEDIATRICS PA
Active
Organization
LEESBURG PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD AFZAL MD (OWNER)
(352) 394-3929
Entity
Organization
Contact information
Practice address
8113 CENTRALIA CT, LEESBURG, FL 34788-7508
(352) 435-7938
(352) 805-4145
Mailing address
8113 CENTRALIA CT, LEESBURG, FL 34788-7508
(352) 435-7938
(352) 805-4145
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/24/2013
Last updated
01/22/2025
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