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Organization

DANTE V NUZZO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANTE V NUZZO MD (OWNER)
(352) 323-4800
Entity
Organization

Contact information

Practice address
26540 ACE AVE STE H103, LEESBURG, FL 34748-8279
(352) 323-4800
(352) 323-9103
Mailing address
27615 HWY 27, SUITE 109 #308, LEESBURG, FL 34748
(352) 323-4800
(352) 323-9103

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0061619
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110087595
RAILROAD MEDICARE
FL
01
15098
BCBS OF FLORIDA
FL
05
370749100
FL
Enumeration date
09/23/2010
Last updated
06/13/2024
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