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WEENA CHUA FAVIS MD PA NPI 1235194861


NPI Information

NPI: 1235194861
Provider Name: WEENA CHUA FAVIS MD PA

Doing Business As: LAKE PRIME CARE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
33041 PROFESSIONAL DR
SUITE 101
LEESBURG, FL
ZIP 34788
Phone: (352) 365-1224
Get Directions

WEENA CHUA FAVIS MD PA is an internal medicine in Leesburg, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WEENA CHUA FAVIS MD PA NPI is 1235194861. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lake Prime Care.

The provider's business location address is:

33041 PROFESSIONAL DR
SUITE 101
LEESBURG, FL
ZIP 34788-760
Phone: (352) 365-1224
Fax: (352) 365-0786

The provider's authorized official is Weena C Favis .
The authorized official title is Owner and has the following contact phone number (352) 365-1224.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 3/15/2016.


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
1207R00000XInternal Medicine203BI03004FLORIDAYes

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
1G10231MEDICARE UPINFLORIDA
227426MEDICARE PINFLORIDA

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: 5/5/2024

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