Sudberg, Leonard A
Sudberg, Leonard A is an sole proprietor health care provider with primary practice located at 13940 N Us Highway 441 Ste 102 , Lady Lake FL 32159-8909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sudberg, Leonard A can be contacted via phone (352) 751-9900.Contact Information
Primary practice address
13940 N Us Highway 441 Ste 102
Lady Lake FL 32159-8909
Phone: (352) 751-9900
Fax: (844) 388-6186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME123372 | Florida |
Profile Details
| NPI number | 1710057815 |
|---|---|
| LBN Legal business name | Sudberg, Leonard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Oct 16th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710057815 | NPPES |
| New York | MEDICAID | 00693792 |
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