Organization
LCO GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET EXUM (MANAGER)
(352) 753-4366
Entity
Organization
Contact information
Practice address
910 OLD CAMP RD, BUILDING 10, SUITE 112, THE VILLAGES, FL 32162-5604
(352) 728-3000
(352) 728-2603
Mailing address
910 OLD CAMP RD STE 112, THE VILLAGES, FL 32162-5605
(352) 728-3000
(352) 753-5681
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME36469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24500
BCBS FL
FL
Enumeration date
03/28/2011
Last updated
02/25/2026
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