Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leesburg Regional Medical Center Physician Services LLC

Organization Emergency Medicine Physician · NPI 1104063114

Leesburg Regional Medical Center Physician Services LLC is an Emergency Medicine Physician in Leesburg, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2009
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone: (523) 594-0827
Fax: (352) 323-5039
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17021 Us Highway 441, Mount Dora, FL 32757-6734 — (523) 594-0827

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Neurology Physician Taxonomy 2084N0400X · Licence ME102387 (FL)
Surgery Physician Taxonomy 208600000X · Licence ME101492 (FL)
Surgery Physician Taxonomy 208600000X · Licence ME062340 (FL)

Record details

NPI number1104063114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Long — President, Ceo · (352) 323-5761
NPI enumeratedJanuary 13, 2009
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address600 E Dixie Ave, Leesburg, FL 34748-5925

Other providers in Leesburg