Enter Your Patient Information * indicates required field Provider: Ajay Harendra Bisht, MD Provider Location LeesburgMount Dora Leesburg Directions to Leesburg 1801 US Hwy 441 Bldg 100 Leesburg, FL 34748 Directions to Leesburg 1801 US Hwy 441 Bldg 100 Leesburg, FL 34748 Call Leesburg at352-460-4004 Mount Dora Directions to Mount Dora 18550 US Highway 441 Mount Dora, FL 32757 Directions to Mount Dora 18550 US Highway 441 Mount Dora, FL 32757 Call Mount Dora at352-735-3755 First Name Last Name Email Phone Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920191919181917191619151914191319121911191019091908190719061905 Street City State StateAlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip/Postal Code Preferred Contact Method Phone Email Reason for Appointment Preferred Date and Time Preferred Date Range (Start) Preferred Date Range (End) Preferred Date and Time Preferred Days Monday Tuesday Wednesday Thursday Friday No Preference Preferred Times Morning Afternoon Evening No Preference Let's Keep In Touch Yes, I want AdventHealth to send me information about its various services via phone, email or direct mail. Take Health IntoYour Own Hands Do more than ever before in one handy download. View Lab Results Pay Bills Message Your Care Team Schedule Appointments 24/7 Virtual Urgent Care Access Health Records with MyChart
Leesburg Directions to Leesburg 1801 US Hwy 441 Bldg 100 Leesburg, FL 34748 Directions to Leesburg 1801 US Hwy 441 Bldg 100 Leesburg, FL 34748 Call Leesburg at352-460-4004
Mount Dora Directions to Mount Dora 18550 US Highway 441 Mount Dora, FL 32757 Directions to Mount Dora 18550 US Highway 441 Mount Dora, FL 32757 Call Mount Dora at352-735-3755