Ms Renee Christine Edwards Leichtfuss, DC | |
1602 W Sligh Ave, Suite 500, Tampa, FL 33604-5893 | |
(813) 935-4744 | |
Not Available |
Full Name | Ms Renee Christine Edwards Leichtfuss |
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Gender | Female |
Speciality | Chiropractor |
Location | 1602 W Sligh Ave, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396125530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 012595 (New York) | Secondary |
111N00000X | Chiropractor | CH11473 (Florida) | Primary |
Provider Name | Lifeclinic Chiropractic Of Nevada Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861735755 PECOS PAC ID: 1850600925 Enrollment ID: O20151013000697 |
Mailing Address | Practice Location Address |
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Ms Renee Christine Edwards Leichtfuss, DC 1602 W Sligh Ave, Suite 500, Tampa, FL 33604-5893 Ph: (813) 935-4744 | Ms Renee Christine Edwards Leichtfuss, DC 1602 W Sligh Ave, Suite 500, Tampa, FL 33604-5893 Ph: (813) 935-4744 |
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