Internal Medicine Associates Of Lake County, P.A.
LBN: Internal Medicine Associates Of Lake County, P.A.
Internal Medicine Associates Of Lake County, P.A. is an health care organization with primary practice located at 619 W Dixie Ave , Leesburg FL 34748-2602. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Internal Medicine Associates Of Lake County, P.A. can be contacted via phone (352) 314-2424, or through Brown, Gregory Mark via phone (352) 314-2424.
Contact Information
Primary practice address
619 W Dixie Ave
Leesburg FL 34748-2602
Phone: (352) 314-2424
Fax: (352) 314-3010
Website:
Authorized official contact:
Name: Brown, Gregory Mark Doctor of Medicine (MD)
Phone: (352) 314-2424
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1285611210 |
|---|---|
| LBN Legal business name | Internal Medicine Associates Of Lake County, P.A. |
| DBA Doing business as | |
| Authorized official | Brown, Gregory Mark Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Apr 2nd, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285611210 | NPPES |
| Florida | Other | 45358 | BCBS OF FLORIDA |
| Florida | MEDICAID | 259964300 | BCBS OF FLORIDA |
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