| NPI | 1225284391 |
|---|---|
| Doing Business As | LEESBURG FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | REGINA INGRAM Administrator 352-728-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |