Organization
LEESBURG REGIONAL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE HARDEN (CFO)
(352) 323-5002
Entity
Organization
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 323-5762
(352) 323-5239
Mailing address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 323-5762
(352) 323-5239
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010107900
—
FL
01
—
328
BLUE CROSS BLUE SHIELD ID
FL
Enumeration date
11/08/2006
Last updated
12/13/2012
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