Organization

Allergy Sinus & Asthma Center Of Leesburg Inc

Specialist in Lady Lake, FL(View on Map)

Legal Business Name

Allergy Sinus & Asthma Center Of Leesburg Inc

NPI Number

1992718290

NPI Type

Organization

Enumeration Date

08/15/2006

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1804
309 LAGRANDE BLVD

City

Lady Lake
Lady Lake

State

FL
FL

Postal Code

32158-1804
32159-2386

Country

US
US

Telephone Number

(352) 750-1999
(352) 750-1999

Authorized Official

Name

Mrs. Judy Naumann

Title or Position

OFFICE MANAGER

Telephone Number

(352) 750-1999

Identifiers

Identifier

Y8614
00243
P00141885

Identifier State

FL
FL
FL

Identifier Issuer

BC/BS
BS/BC GROUP #
RAILROAD MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/01/2015

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