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Organization
MARY ANN TESALONA MD CORP
Active
Organization
MARY ANN TESALONA MD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN DUMAYAS TESALONA M.D. (M.D./OWNER)
(352) 315-1161
Entity
Organization
Contact information
Practice address
32845 RADIO RD, SUITE 101, LEESBURG, FL 34788-3977
(352) 315-1161
(352) 315-8438
Mailing address
32845 RADIO RD, SUITE 101, LEESBURG, FL 34788-3977
(352) 315-1161
(352) 315-8438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0063400
FL
Other
Enumeration date
04/10/2008
Last updated
12/08/2011
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