Leesburg Regional Medical Center Physician Services LLC
NPI 1104063114 · Emergency Medicine Physician · Leesburg, FL
Provider details
- NPI number
- 1104063114
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Heather Long, President, Ceo(352) 323-5761
- License
- ME102387 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 17021 US Highway 441Mount Dora, FL 32757-6734Phone: (523) 594-0827
Registry dates
- Enumerated
- 2009-01-13
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.