Organization
CENTRAL FLORIDA MEDICAL CARE,PA
Active
Other names
CENTRAL FLORIDA MEDICAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RICHARD LICHTINGER DO (OWNER/PHYSICIAN)
(352) 360-0400
Entity
Organization
Contact information
Practice address
29320 US HIGHWAY 27, LEESBURG, FL 34748-8227
(352) 360-0400
(352) 360-0404
Mailing address
29320 US HIGHWAY 27, LEESBURG, FL 34748-8227
(352) 360-0400
(352) 360-0404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0S0006324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371631700
—
FL
01
—
CH3810
RAILROAD MEDICARE
FL
Enumeration date
06/17/2006
Last updated
10/31/2012
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