Organization
ALLERGY SINUS & ASTHMA CENTER OF LEESBURG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY ANN NAUMANN (OFFICE MANAGER)
(352) 750-1999
Entity
Organization
Contact information
Practice address
309 LAGRANDE BLVD, LADY LAKE, FL 32159-2386
(352) 750-1999
(352) 750-1998
Mailing address
PO BOX 1804, LADY LAKE, FL 32158-1804
(352) 750-1999
(352) 750-1998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00243
BS/BC GROUP #
FL
01
—
P00141885
RAILROAD MEDICARE
FL
01
—
Y8614
BC/BS
FL
Enumeration date
08/15/2006
Last updated
04/01/2015
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