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Contact Information

LAKE CENTER OF H.O.P.E., PA
33057 PROFESSIONAL DRIVE
SUITE 102
LEESBURG, FL34788
 Phone: 352-787-0081
 Fax: 352-314-9444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LAKE CENTER OF HOPE PA · (Female)

NPI # 1366647802
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2007
Last updated 10/21/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 75000006578
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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