LEESBURG PEDIATRICS PA NPI 1003258666

NPI Information

NPI: 1003258666
Provider Name: LEESBURG PEDIATRICS PA
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
8113 CENTRALIA CT
LEESBURG, FL
ZIP 34788
Phone: (352) 435-7938
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LEESBURG PEDIATRICS PA is a rural health clinic center in Leesburg, FL. LEESBURG PEDIATRICS PA NPI is 1003258666. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8113 CENTRALIA CT
LEESBURG, FL
ZIP 34788-508
Phone: (352) 435-7938
Fax: (352) 805-4145

The provider's authorized official is Mohammad Afzal .
The authorized official title is Owner and has the following contact phone number (352) 394-3929.

The enumeration date for this NPI number is 7/24/2013 and was last updated on 12/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	009585800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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