| Professional Gastroenterology & Nutrition Associates, P.a. | |
|
8110 County Road 44 Leg A Leesburg FL 34788-3704 | |
| (352) 323-8868 | |
| (352) 323-8865 |
| Full Name | Professional Gastroenterology & Nutrition Associates, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8110 County Road 44 Leg A, Leesburg, Florida |
| Authorized Official Name and Position | Lily C Tran (PHYSICIAN) |
| Authorized Official Contact | 3523238868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Gastroenterology & Nutrition Associates, P.a. 8110 County Road 44 Leg A Leesburg FL 34788-3704 Ph: (352) 323-8868 | Professional Gastroenterology & Nutrition Associates, P.a. 8110 County Road 44 Leg A Leesburg FL 34788-3704 Ph: (352) 323-8868 |
| NPI Number | 1215974498 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1850294612 |
|---|---|
| Medicare Enrollment ID | O20040129000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215974498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Florida) | Primary |
| Provider Name | Garth George |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760453286 PECOS PAC ID: 9234325408 Enrollment ID: I20111117000361 |
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