Lady Lake Nh, Llc

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NPI Provider: 1326043050
Contact Name: Mando William
Position: CFO
Phone: (813) 635-9500

Lady Lake Nh, Llc Information:

Lady Lake Nh, Llc organization have npi 1326043050, taxonomy code is 332BP3500X with license number is R113728 in . This Business address located in 630 Griffin Ave, Lady Lake, FL 32159 Florida. Get directions of Lady Lake Nh, Llc.

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Practice Location
Address: 630 Griffin Ave, Lady Lake, FL 32159
Phone: (352) 750-6619

Business Location

Address: 630 Griffin Ave, Lady Lake, FL 32159

Phone: (352) 750-6619

Fax: (352) 750-0373

Taxonomy

Taxonomy Code: 332BP3500X

License Number: R113728

License Number of State: MD

Primary Taxonomy Switch: N

Enumeration Date: 6/17/2005

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