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Organization
INTERNAL MEDICINE ASSOCIATES OF LAKE COUNTY, P.A.
Active
Organization
INTERNAL MEDICINE ASSOCIATES OF LAKE COUNTY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MARK BROWN M.D. (PRESIDENT)
(352) 314-2424
Entity
Organization
Contact information
Practice address
619 W DIXIE AVE, LEESBURG, FL 34748-2602
(352) 314-2424
(352) 314-3010
Mailing address
619 W DIXIE AVE, LEESBURG, FL 34748-2602
(352) 314-2424
(352) 314-3010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259964300
—
FL
01
—
45358
BCBS OF FLORIDA
FL
Enumeration date
12/30/2005
Last updated
04/02/2015
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