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Contact Information

PRIME RADIOLOGY OF LEESBURG INC
600 N W BLVD
SUITE E
LEESBURG, FL34748
 Phone: 863-535-5544
 Fax: 321-348-5777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for PRIME RADIOLOGY OF LEESBURG INC · (Female)

NPI # 1497202675
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2016
Last updated 09/06/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME62144
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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