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Organization
LAKE HOSPITALIST INC
Active
Organization
LAKE HOSPITALIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADINA M ION M.D. (OWNER)
(352) 728-5466
Entity
Organization
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 323-5762
Mailing address
1032 SHORE ACRES DR, LEESBURG, FL 34748-4506
(352) 728-5466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME85805
FL
Other
Enumeration date
12/14/2006
Last updated
07/16/2007
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