Organization
INTERVENTIONAL ASSOCIATES OF LEESBURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC OTT DC (CEO)
(352) 702-4340
Entity
Organization
Contact information
Practice address
106 W NORTH BLVD STE 102, LEESBURG, FL 34748-5039
(352) 702-4340
Mailing address
425 ALEXANDRIA BLVD STE 1000, OVIEDO, FL 32765-5548
(407) 977-3434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
08/12/2019
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