Deirdre Leake, MD | |
1750 Tree Blvd, Suite 10, St Augustine, FL 32084-5715 | |
(904) 810-5434 | |
(904) 810-5282 |
Full Name | Deirdre Leake |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 26 Years |
Location | 1750 Tree Blvd, St Augustine, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073617585 | NPI | - | NPPES |
P00255496 | Other | FL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | ME91018 (Florida) | Secondary |
207YS0123X | Otolaryngology - Facial Plastic Surgery | ME91018 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Flagler Hospital | Saint augustine, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Ent Associates Inc | 4587556923 | 130 |
Entity Name | Florida Ent Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184625733 PECOS PAC ID: 4587556923 Enrollment ID: O20040329001213 |
Entity Name | N.f.l. Center For Oto-hns Facial Plastic Surgery P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851325781 PECOS PAC ID: 8224061023 Enrollment ID: O20050913000553 |
Mailing Address | Practice Location Address |
---|---|
Deirdre Leake, MD 15280 Nw 79th Ct Ste 200, Miami Lakes, FL 33016-5873 Ph: (305) 558-3724 | Deirdre Leake, MD 1750 Tree Blvd, Suite 10, St Augustine, FL 32084-5715 Ph: (904) 810-5434 |
Arthur Cortland Taliaferro, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3 San Bartola Dr, St Augustine, FL 32086 Phone: 904-823-8823 Fax: 904-808-8587 | |
Robert Sean Miller, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3 San Bartola Dr, St Augustine, FL 32086 Phone: 904-823-8823 Fax: 904-808-8587 | |
Uma Eyyunni, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 201 Health Park Blvd, Suite 107, St Augustine, FL 32086 Phone: 904-819-0101 | |
Bruce R Witten, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 301 Health Park Blvd, Suite 323, St Augustine, FL 32086 Phone: 904-829-6441 Fax: 904-829-2452 |