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Lifestream Behavioral Center Inc
Primary Care Clinic/Center in Leesburg, Florida
NPI 1659613776

Lifestream Behavioral Center Inc is a Primary Care Clinic/Center based in Leesburg, FL and is specialized in Primary Care. Lifestream Behavioral Center Inc practices in Leesburg, FL. The NPI Number for Lifestream Behavioral Center Inc is 1659613776 and holds a License No. (Florida).

The current practice location address for Lifestream Behavioral Center Inc is 215 N 3Rd St, Leesburg, FL and can be reached out via phone at 352-315-7900 and via fax at 352-360-6582.

Location: 215 N 3Rd St, Leesburg, FL, 34749-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659613776
Provider Name
Lifestream Behavioral Center Inc
Credential
Provider Entity Type
Organization
Address
215 N 3Rd St, Leesburg, FL, 34749-1000
Phone Number
352-315-7900
Fax Number
352-360-6582
Provider Enumeration Date
03/27/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
024576301 05 FL
98270 01 FL MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
215 N 3Rd St
City
Leesburg
State
Florida
Zip
34748-5105
Phone Number
352-315-7900
Fax Number
352-360-6582
person
Provider Business Mailing Address Details
Address
215 N 3Rd St
City
Leesburg
State
Florida
Zip
34748-5105
Phone Number
352-315-7900
Fax Number
352-360-6582
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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