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Organization
WEENA CHUA FAVIS MD PA
Active
Organization
WEENA CHUA FAVIS MD PA
Active
Other names
LAKE PRIME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEENA C FAVIS M.D (OWNER)
(352) 365-1224
Entity
Organization
Contact information
Practice address
33041 PROFESSIONAL DR, SUITE 101, LEESBURG, FL 34788-3760
(352) 365-1224
(352) 365-0786
Mailing address
33041 PROFESSIONAL DR, SUITE 101, LEESBURG, FL 34788-3760
(352) 365-1224
(352) 365-0786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203BI03004
FL
Other
Enumeration date
04/18/2006
Last updated
03/15/2016
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