# FLORIDA PHYSICAL MEDICINE & PAIN CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457734212
- **Authorized official:** DR. ANUREET GARG D.O. (SOLE MEMBER)
- **Authorized official phone:** (352) 787-9700

## Contact information

- **Practice address:** 601 E DIXIE AVE, STE 101, LEESBURG, FL 34748-5953
- **Practice address phone:** (352) 787-9700
- **Practice address fax:** (352) 787-9700
- **Mailing address:** PO BOX 267, TAVARES, FL 32778-0267
- **Mailing address phone:** (352) 787-9700
- **Mailing address fax:** (352) 787-9703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | OS 12502 | FL | Yes |

## Other

- **Enumeration date:** 06/29/2015
- **Last updated:** 10/14/2015