IndividualActive
Brian Mundy, PT
NPI 1053420364 · Physical Therapist · Leesburg, FL
Provider details
- NPI number
- 1053420364
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT2005 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
26540 Ace Ave
Ste B
Leesburg, FL 34748-8279
Phone: (352) 314-9810
Fax: (352) 314-9878
Approximate (ZIP-level) locationGet directions
Mailing address
101 S 11th St
Leesburg, FL 34748-5767
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.