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Lake Surgical Clinic Pa
Specialist in Leesburg, Florida
NPI 1114105442

Lake Surgical Clinic Pa is a Specialist based in Leesburg, FL. Lake Surgical Clinic Pa practices in Leesburg, FL. The NPI Number for Lake Surgical Clinic Pa is 1114105442 and holds a License No. ME16817 (Florida).

The current practice location address for Lake Surgical Clinic Pa is 1111 W Dixie Ave, Leesburg, FL and can be reached out via phone at 352-787-8230 and via fax at 352-787-6964.

Location: 1111 W Dixie Ave, Leesburg, FL, 34748-6386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114105442
Provider Name
Lake Surgical Clinic Pa
Credential
Provider Entity Type
Organization
Address
1111 W Dixie Ave, Leesburg, FL, 34748-6386
Phone Number
352-787-8230
Fax Number
352-787-6964
Provider Enumeration Date
02/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 W Dixie Ave
City
Leesburg
State
Florida
Zip
34748-6386
Phone Number
352-787-8230
Fax Number
352-787-6964
person
Provider Business Mailing Address Details
Address
1111 W Dixie Ave
City
Leesburg
State
Florida
Zip
34748-6386
Phone Number
352-787-8230
Fax Number
352-787-6964
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME16817 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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