INTERVENTIONAL ASSOCIATES OF LEESBURG, LLC


Address: 106 W North Blvd Ste 102, Leesburg, FL 34748-5039
Phone: 3527024340

INTERVENTIONAL ASSOCIATES OF LEESBURG, LLC (NPI# 1972061679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972061679
Entity Type Organization
Organization Name INTERVENTIONAL ASSOCIATES OF LEESBURG, LLC
Practice Address 106 W North Blvd Ste 102
Leesburg
FL 34748-5039
Mailing Address 425 Alexandria Blvd Ste 1000
Oviedo
FL 32765-5548
Practice Telephone 3527024340
Mailing Telephone 4079773434
Enumeration Date 2019-03-12
Last Update Date 2019-08-12
Authorized Official Name MARC OTT (CEO)
Authorized Official Telephone 3527024340
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 106 W NORTH BLVD STE 102
City LEESBURG
State FL
Zip Code 34748-5039

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1497202675 Prime Radiology of Leesburg Inc Radiology 600 N W Blvd, Suite E, Leesburg, FL 34748 2016-09-06
1023480332 Juanita Elizabeth Simpson Contractor 1911 Harcourt Drive, Leesburg, FL 34748 2015-10-26
1467835900 Serenity Choice Place, LLC Community/Behavioral Health 721 Balmoral Circle, Leesburg, FL 34748 2015-07-01
1356738397 Touching Heart's Group Homes, LLC Community/Behavioral Health 31809 Sunpark Cir, Leesburg, FL 34748 2015-04-16
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063967149 Tri-county Heart Institute Pa Specialist 5545 Windsong Oak Dr, Leesburg, FL 34748-7788 2016-08-18
1184093577 Breast Reconstruction Specialists LLC Specialist 224-cornwall Street, Nw, Suite 300, Leesburg, VA 20176-2704 2015-09-16
1649592460 Allison T. Shorb Specialist 217 S King St, Leesburg, VA 20175-2905 2010-02-20
1578899555 William Barton Mahan Specialist 10601 Us Highway 441 Ste E1, Leesburg, FL 34788-7240 2009-10-26
1255527719 Eze D. Uche, M.d., Pa Specialist 4646 Via Del Medico, Leesburg, FL 34748-6995 2007-09-19
1083742571 Hear Care Inc Specialist 1108 W Dixie Ave, Leesburg, FL 34748-6312 2007-02-28
1700958600 Lake Neurology Clinic, P.a. Specialist 608 S 9th Street, Ste A, Leesburg, FL 34748 2006-11-15
1134238140 Pascual Herrera Jr. Specialist 215 Industrial Blouvard, Leesburg, AL 35983 2006-08-30
1578676953 Alex Marin Uson Specialist 1039 W Dixie Ave, Leesburg, FL 34748-6349 2006-08-17
1780604892 Ellen Therese Egerton Specialist 906 Trailview Blvd Se, Leesburg, VA 20175-4415 2006-07-20
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Competitor

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City LEESBURG
Zip Code 34748

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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