Sudberg, Leonard A

Sudberg, Leonard A is an sole proprietor health care provider with primary practice located at 13940 N Us Highway 441 Ste 102 , Lady Lake FL 32159-8909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sudberg, Leonard A can be contacted via phone (352) 751-9900.

Contact Information

Primary practice address
13940 N Us Highway 441 Ste 102 Lady Lake FL 32159-8909
Phone: (352) 751-9900
Fax: (844) 388-6186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME123372 Florida

Profile Details

NPI number 1710057815
LBN Legal business name Sudberg, Leonard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Oct 16th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710057815 NPPES
New York MEDICAID 00693792

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