Organization
CENTRAL FLORIDA ASSOCIATED PRIMARY CARE PHYSICIANS, PA
Active
Other names
Hawk & Puglia Family Practice Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENNAJO COURTNEY (OFFICE MANAGER)
(352) 787-8301
Entity
Organization
Contact information
Practice address
101 S 11TH ST, SUITE 4, LEESBURG, FL 34748-5767
(352) 787-8301
(352) 787-6091
Mailing address
101 S 11TH ST, SUITE 4, LEESBURG, FL 34748-5767
(352) 787-8301
(352) 787-6091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34152
BLUE CROSS BLUE SHIELD
FL
01
—
CJ8048
RAILROAD MEDICARE
FL
Enumeration date
08/04/2006
Last updated
08/22/2020
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