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Organization

LAKE CENTER OF H.O.P.E., PA

Active
Other names
Nick M Ungson, .M.D., PA
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LOURDES NICOLAS UNGSON OFFICE MANAGER (SECRETARY TREASURER)
(352) 787-0081
Entity
Organization

Contact information

Practice address
33057 PROFESSIONAL DRIVE, SUITE 102, LEESBURG, FL 34788
(352) 787-0081
(352) 314-9444
Mailing address
33057 PROFESSIONAL DRIVE, SUITE 102, LEESBURG, FL 34788-7507
(352) 787-0081
(352) 314-9444

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
75000006578
FL

Other

Enumeration date
06/15/2007
Last updated
10/21/2013
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