| NPI | 1437281102 |
|---|---|
| Doing Business As | LEESBURG FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | REGINA INGRAM Administrative Assistant 352-728-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-10-03 |