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1104017946
TO YOUR HEALTH OF LAKE COUNTY INC
LEESBURG, FL
NPI
1104017946
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Entity Type
Organization
Authorized Contact
JOSEPH L CARRASCO
Owner
352-326-5281
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME70698)
Enumeration Date
2007-08-07
Last Update Date
2011-10-11
Business Address
TO YOUR HEALTH OF LAKE COUNTY INC
26540 ACE AVE SUITE 108C
LEESBURG, FL 34748-8279
Phone number: 352-326-5281
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Mailing Address
TO YOUR HEALTH OF LAKE COUNTY INC
26540 ACE AVE SUITE 108C
LEESBURG, FL 34748-8279
Phone number: 352-326-5281
Copy
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