Leesburg Primary Care Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME67237 Issued in FL

Legal business name

LEESBURG PRIMARY CARE CENTER, LLC

Practice address

620 S Lake St
Unit 5
Leesburg, FL 34748-6059

Phone

(352) 319-6810

Fax

(352) 365-9673

NPI assigned

Aug 1, 2008

Organization subpart

Yes

Parent organization

MEDICAL CARE CENTERAs reported in NPPES

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

Authorized official

Name

Mrs. Narmata A Amin

Title

Chief Operating Officer

Phone

(727) 251-1366

Specialties & licenses 1

Addresses

Part of

Medical Care Centers LLC

Locations

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1982860656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S LAKE ST",
            "address_2": "UNIT 5",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486059",
            "telephone_number": "352-319-6810",
            "fax_number": "352-365-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S LAKE ST",
            "address_2": "UNIT 5",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486059",
            "telephone_number": "352-319-6810",
            "fax_number": "352-365-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG PRIMARY CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CARE CENTER",
        "enumeration_date": "2008-08-01",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "NARMATA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "727-251-1366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME67237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leesburg Family Medicine
• Leesburg Health & Rehab LLC
• Leesburg Health and Rehab
• Leesburg Pain & Rehab, Inc
• Leesburg Pediatrics PA
• Leesburg Psychology
• Leesburg Regional Medical Center
• Leesburg Regional Medical Center D/B/a LRMC Nursing Center
• Leesburg Regional Medical Center Inc
• Leesburg Regional Medical Center Inc

• Specialist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.