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Organization

FLORIDA HEART & VASCULAR MULTI SPECIALTY CLINIC

Active
Parent organization
FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA
Authorized official
JUNE K LEW (ADMINISTRATOR)
(352) 728-6808
Entity
Organization

Contact information

Practice address
4120 CORLEY ISLAND RD, SUITE 500, LEESBURG, FL 34748-8292
(352) 326-6011
(352) 326-6014
Mailing address
511 MEDICAL PLAZA DR, SUITE 101, LEESBURG, FL 34748-7326
(352) 768-6808
(352) 768-3637

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
11/19/2010
Last updated
11/19/2010
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