Organization
PHOENIX EMERGENCY SERVICES OF LEESBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R SCOTT MD (PRESIDENT)
(919) 425-1565
Entity
Organization
Contact information
Practice address
1451 EL CAMINO REAL, THE VILLAGES, FL 32159-0041
(352) 753-6900
(919) 425-0478
Mailing address
3114 CROASDAILE DR STE 200, DURHAM, NC 27705-2508
(919) 425-1565
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279928601
—
FL
Enumeration date
09/27/2007
Last updated
05/27/2009
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