| Lake County Sheriff Dept | |
|
8113 Centralia Ct Ste 102 Leesburg FL 34788-7521 | |
| (352) 314-3020 | |
| Not Available |
| Full Name | Lake County Sheriff Dept |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8113 Centralia Ct Ste 102, Leesburg, Florida |
| Authorized Official Name and Position | Lisa Corbin (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Sheriff Dept 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Lake County Sheriff Dept 8113 Centralia Ct Ste 102 Leesburg FL 34788-7521 Ph: (352) 314-3020 |
| NPI Number | 1396419594 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396419594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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