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
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 323-5009
(919) 425-0478
Mailing address
3114 CROASDAILE DR, SUITE 200, DURHAM, NC 27705-2508
(919) 425-1565
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279928600
—
FL
Enumeration date
09/27/2007
Last updated
05/27/2009
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