Mayle, Lovell Leonard
Mayle, Lovell Leonard is an individual health care provider with primary practice located at 17000 Porter Rd , Winter Garden FL 34787-8915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Mayle, Lovell Leonard can be contacted via phone (321) 842-5052.Contact Information
Primary practice address
17000 Porter Rd
Winter Garden FL 34787-8915
Phone: (321) 842-5052
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME59012 | Florida |
Profile Details
| NPI number | 1073624649 |
|---|---|
| LBN Legal business name | Mayle, Lovell Leonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 20th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073624649 | NPPES |
| Florida | MEDICAID | 271321700 | |
| Florida | Other | 11640 |
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