Mugo, Leah

Mugo, Leah is an individual health care provider with primary practice located at 2345 Bobcat Village Center Rd Suite202, North Port FL 34288-8999. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mugo, Leah can be contacted via phone (941) 257-2930.

Contact Information

Primary practice address
2345 Bobcat Village Center Rd Suite202 North Port FL 34288-8999
Phone: (941) 257-2930
Fax: (941) 257-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036130917 Illinois

Profile Details

NPI number 1679700694
LBN Legal business name Mugo, Leah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Oct 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679700694 NPPES
Florida Other 33181 BCBS FLORIDA

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