Organization
FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA
Active
Other names
Central Florida Associated Primary Care Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE K LEW (ADMINISTRATOR)
(352) 728-6808
Entity
Organization
Contact information
Practice address
101 S 11TH ST, SUITE 4, LEESBURG, FL 34748-5767
(352) 787-8301
(352) 787-8301
Mailing address
511 MEDICAL PLAZA DR, SUITE 101, LEESBURG, FL 34748-7326
(352) 728-6808
(352) 728-1751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09277
BC/BS OF FLORIDA
FL
01
—
P00390402
RR/PALMETTO/GBA
FL
Enumeration date
06/11/2007
Last updated
03/21/2008
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