Alisa E Mountain

NPI 1174742316 - Specialist/Technologist - 225500000X

NPI Details
NPI 1174742316
Gender Female
Enumeration Date 04/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
600 W NORTH BLVD
SUITE D
LEESBURG FL, 34748-5063, US
Phone (352) 787-9300
Fax
Business Location
4155 SW 116TH PL
OCALA FL, 34476-4300, US
Phone (352) 236-6867
Fax
Toxanomy
Taxonomy Code 225500000X
License State Florida
License Number EXERCISE PHYS
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According to our database, Alisa E Mountain NPI is 1174742316, taxonomy code is 225500000X and license number is EXERCISE PHYS, license state is located at Florida. Alisa E Mountain physically located at 600 W North Blvd, Leesburg FL, 34748-5063. NPI Number Alisa E Mountain has the Individual type.

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1174742316 NPI number is provided on an as is basis without warranty of any kind. 1174742316 is maintained by the National Plan & Provider Enumeration System. The contents of Alisa E Mountain are for informational purposes only.