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Organization

LEESBURG PRIMARY CARE CENTER, LLC

Active
Parent organization
MEDICAL CARE CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDICAL CARE CENTER
Authorized official
MRS. NARMATA A AMIN (CHIEF OPERATING OFFICER)
(727) 251-1366
Entity
Organization

Contact information

Practice address
620 S LAKE ST, UNIT 5, LEESBURG, FL 34748-6059
(352) 319-6810
(352) 365-9673
Mailing address
620 S LAKE ST, UNIT 5, LEESBURG, FL 34748-6059
(352) 319-6810
(352) 365-9673

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME67237
FL

Other

Enumeration date
08/01/2008
Last updated
04/27/2009
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