MARY ANN TESALONA MD CORP NPI 1952574923

NPI Information

MARY ANN TESALONA MD CORP is a family medicine in Leesburg, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARY ANN TESALONA MD CORP NPI is 1952574923. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

32845 RADIO RD
SUITE 101
LEESBURG, FL
ZIP 34788-977
Phone: (352) 315-1161
Fax: (352) 315-8438

The provider's authorized official is Mary Ann Dumayas Tesalona .
The authorized official title is M.d./owner and has the following contact phone number (352) 315-1161.

The CLIA number assigned to this NPI record is 10D0963794 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 12/8/2011.

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:

Other Identifiers

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