Organization
LAKE ENT & FPS, PA
Active
Other names
Lake Ear, Nose Throat and Facial Plastic Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH C MILSTEAD M.D. (PRESIDENT)
(352) 728-2404
Entity
Organization
Contact information
Practice address
601 E DIXIE AVE, PLAZA 901, LEESBURG, FL 34748-5953
(352) 728-2404
(352) 787-7401
Mailing address
601 E DIXIE AVE, PLAZA 901, LEESBURG, FL 34748-5953
(352) 728-2404
(352) 787-7401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
10/02/2020
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