Organization
LCO GROUP PA
Active
Parent organization
LCO GROUP
Other names
FLORIDA MUSCULOSKELETAL INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LCO GROUP
Authorized official
BEVERLY J RIDLEY (ACCOUNT MANAGER)
(352) 728-3000
Entity
Organization
Contact information
Practice address
600 W NORTH BLVD, SUITE C, LEESBURG, FL 34748-5063
(352) 728-3000
(352) 787-1165
Mailing address
600 W NORTH BLVD, SUITE C, LEESBURG, FL 34748-5063
(352) 728-3000
(352) 787-1165
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0036469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251935600
—
FL
Enumeration date
08/05/2006
Last updated
06/21/2016
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