Organization · Type 2 NPI
Lake Center of H.o.p.e., PA
Specialist · Leesburg, FL
NPI number
1366647802
Active
Practice location
33057 Professional Drive, Suite 102
Leesburg, FL 34788
Fax (352) 314-9444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 75000006578 (FL) |
Specialist: 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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About NPI 1366647802
Lake Center of H.o.p.e., PA's National Provider Identifier is 1366647802, issued on Jun 15, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Leesburg, FL. The record was last updated on Oct 21, 2013.