Leonard A Sudberg in Lady Lake - Internal Medicine

Leonard A Sudberg - NPI 1710057815

Leonard A Sudberg is a Internal Medicine in Lady Lake, Florida. Leonard A Sudberg practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Leonard A Sudberg is 1710057815. The last update date is 2018-10-16.

Leonard A Sudberg's current location address is 13940 N Us Highway 441 Ste 102, Lady Lake, Florida. You can contact this provider via phone number 3527519900 and fax number 8443886186. The mailing address for Leonard A Sudberg is 13940 N Us Highway 441 Ste 102, Lady Lake, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Leonard A Sudberg
Address 13940 N Us Highway 441 Ste 102, Lady Lake, Florida
Phone Number 3527519900
Fax Number 8443886186
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1710057815
Provider Enumeration Date 2006-11-08
Last Updated Date 2018-10-16

Provider Mailing Address Detail

Address 13940 N Us Highway 441 Ste 102
City Lady Lake
State Florida (FL)
Post Code 321598909
Phone Number 3527519900
Fax Number 8443886186

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME123372
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
693792 NY --

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FAQs about Leonard A Sudberg

What is the unique 10-digit identification code issued to Leonard A Sudberg by the Centers for Medicare & Medicaid Services?

The Leonard A Sudberg has been assigned the NPI (National Provider Identifier) 1710057815 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Leonard A Sudberg's physical address?

The Leonard A Sudberg is physically located at 13940 N Us Highway 441 Ste 102, in the city of Lady Lake, FL, with the postal code 321598909.

What is the area of specialization for Leonard A Sudberg, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Leonard A Sudberg is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Leonard A Sudberg receive the assignment of its 1710057815 from the Centers for Medicare & Medicaid Services?

The Leonard A Sudberg was issued its 1710057815 by the Centers for Medicare & Medicaid Services on 2006-11-08.

As of what date were the Leonard A Sudberg's details last updated?

The information pertaining to the Leonard A Sudberg, including its address, specialty, and other details, was most recently updated on 2018-10-16.

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