Mary Ann Tesalona MD Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0063400 Issued in FL

Legal business name

MARY ANN TESALONA MD CORP

Practice address

32845 Radio Rd
Suite 101
Leesburg, FL 34788-3977

Phone

(352) 315-1161

Fax

(352) 315-8438

NPI assigned

Apr 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary Ann Dumayas Tesalona, M.D.

Title

M.D./Owner

Phone

(352) 315-1161

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1952574923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32845 RADIO RD",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883977",
            "telephone_number": "352-315-1161",
            "fax_number": "352-315-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32845 RADIO RD",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883977",
            "telephone_number": "352-315-1161",
            "fax_number": "352-315-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN TESALONA MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "TESALONA",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "DUMAYAS",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "352-315-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0063400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nidsa I Martir Cruz, MD
• Linda Marts
• Marty R Leggett OD PA
• Brijesh Suresh Maru, BPHARM,MS
• Isabella C Marulanda, LMHC
• Douglas J Mason, PSYD
• Massage and Wellness Care
• George M Mathew, M.D.
• Jencymol Mathew, APRN, PMHNP
• Lourdes M Mathew, MD

• Family Medicine Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.