Organization
LEESBURG REGIONAL MEDICAL CENTER PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER LONG (PRESIDENT, CEO)
(352) 323-5761
Entity
Organization
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(523) 594-0827
(352) 323-5039
Mailing address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 323-5002
(352) 323-5039
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
ME102387
FL
208600000X
Surgery Physician
ME062340
FL
208600000X
Surgery Physician
ME101492
FL
Other
Enumeration date
01/13/2009
Last updated
11/21/2024
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