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NPI Code Detail

MEDICARE: AVANTE AT LEESBURG, INC.

MEDICARE: AVANTE AT LEESBURG, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilitySNF1026096FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538223722
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVANTE AT LEESBURG, INC.
Provider Business Mailing Address
First Line : 5900 LAKE ELLENOR DR STE 700
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4643
Country : US
Telephone Number : 407-216-0101
Fax Number : 407-318-2477
Provider Business Practice Location Address
First Line : 2000 EDGEWOOD AVE
Second Line :
City : LEESBURG
State : FL
Zip : 34748-5516
Country : US
Telephone Number : 470-758-3737
Fax Number : 352-787-6361
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : KIMBERLY BIEGASIEWICZ
Credential :
Telephone Number : 407-216-0101
Provider Enumeration Date : 12/21/2006
Last Update Date : 05/15/2026

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Directions to “AVANTE AT LEESBURG, INC. ” Practice Location

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